36593

Declotting of central venous tube

Medicare pricing data for 2,671 providers across 44 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Declotting of central venous tube (HCPCS code 36593) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.82, but hospitals typically charge $106.78 — a 3.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$6.76

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $33.82, your out-of-pocket cost would be approximately $6.76. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$33.82
Average Hospital Charge
$106.78
Markup Ratio
3.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$106.78
Medicare Allowed$33.82
Medicare Payment$26.39

Hospitals charge 3.2x more than what Medicare allows for this procedure. Medicare actually pays $26.39 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$39$10455490+15.9%
California$37$712373,509+8.9%
Maryland$37$10694521+8.6%
Hawaii$37$37289+8.2%
New York$36$111109376+7.9%
Massachusetts$36$931128+7.7%
Connecticut$36$1431356+6.2%
Alaska$35$25416144+4.2%
New Hampshire$35$1261153+2.5%
Colorado$34$12170379+1.9%
Oregon$34$10834136+1.3%
Washington$34$12462207+1.2%
Missouri$34$101101677+0.8%
Illinois$34$1511781,162+0.6%
Delaware$34$1221371-0.3%
Minnesota$33$15096243-1.2%
Nevada$33$11252179-1.3%
Virginia$33$11794406-2.9%
Pennsylvania$33$10571217-3.1%
South Dakota$33$279614-3.4%
Texas$32$1153651,196-5.7%
Florida$32$129117385-6.1%
Arizona$32$109131478-6.7%
Wisconsin$31$3414194-7.1%
Michigan$31$9061251-7.9%
Maine$31$11416114-8.7%
Utah$31$781129-9.5%
South Carolina$31$144942-9.8%
North Carolina$30$11469220-9.9%
New Mexico$30$9329105-10.8%
Ohio$30$14070299-11.4%
Kansas$30$7616134-11.9%
Nebraska$30$6829154-12.2%
Georgia$30$12973254-12.2%
Indiana$30$13354260-12.4%
Idaho$30$105638-12.7%
Tennessee$29$7292350-13.1%
Louisiana$29$1971765-13.6%
Oklahoma$29$10322105-13.6%
Iowa$29$9217181-14.7%
Kentucky$28$69830-16.6%
Mississippi$28$751268-17.4%
Arkansas$28$662270-17.5%
Alabama$28$9831139-17.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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