36620

Insertion of artery tube for blood sampling or infusion through skin

Medicare pricing data for 69,958 providers across 52 states

🤖AI Overview

This procedure has a 8.9x markup — hospitals charge $390.29 but Medicare allows only $43.77. Uninsured patients may face bills 8.9 times higher than what insurance negotiates. 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

Insertion of artery tube for blood sampling or infusion through skin (HCPCS code 36620) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $43.77, but hospitals typically charge $390.29 — a 8.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.75

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $43.77, your out-of-pocket cost would be approximately $8.75. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$43.77
Average Hospital Charge
$390.29
Markup Ratio
8.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$390.29
Medicare Allowed$43.77
Medicare Payment$34.80

Hospitals charge 8.9x more than what Medicare allows for this procedure. Medicare actually pays $34.80 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$58$456100604+31.8%
New York$48$5564,44436,801+10.1%
District of Columbia$46$2323823,392+6.2%
Illinois$46$4432,63019,966+4.2%
California$46$3395,68549,011+4.0%
New Jersey$45$3381,4499,479+3.7%
Maryland$45$2891,49910,472+3.2%
Massachusetts$45$2771,98915,175+3.2%
Florida$45$4464,91637,401+2.5%
Connecticut$45$4829395,050+1.7%
Puerto Rico$44$38633125+1.5%
Washington$44$2691,56410,654+1.0%
Rhode Island$44$2251611,015+0.9%
Michigan$44$4292,60414,722+0.3%
Nevada$44$5035074,849-0.1%
Pennsylvania$44$3193,82826,442-0.5%
Colorado$44$3421,1515,884-0.6%
Montana$43$2792232,298-0.7%
New Mexico$43$3053411,813-0.9%
West Virginia$43$2733722,497-0.9%
Wyoming$43$30853329-1.0%
Louisiana$43$2958676,346-1.5%
New Hampshire$43$6153802,380-1.5%
Virginia$43$4121,85111,624-1.7%
Texas$43$5175,42541,036-1.8%
Missouri$43$3141,87513,526-1.9%
Oregon$43$2667855,248-1.9%
Arizona$43$4831,19210,352-1.9%
Ohio$43$2883,39120,966-2.4%
Utah$43$2903961,839-2.4%
Maine$43$1783231,534-2.7%
Hawaii$43$2171771,035-2.8%
Delaware$43$4162171,103-2.8%
North Dakota$42$2083182,079-3.3%
Vermont$42$253119782-3.5%
Georgia$42$3982,06512,439-3.8%
Kentucky$42$2731,1267,787-4.0%
Minnesota$42$4271,44210,157-4.2%
South Carolina$42$3411,2018,599-4.6%
North Carolina$42$5172,30316,137-4.7%
Oklahoma$42$2846726,295-5.0%
South Dakota$42$2792782,293-5.0%
Kansas$41$2466975,148-5.2%
Alabama$41$2579576,206-5.6%
Wisconsin$41$5641,3929,520-5.7%
Indiana$41$3451,40711,155-5.8%
Mississippi$41$3255804,845-6.0%
Iowa$41$3716185,548-6.1%
Tennessee$41$4391,61711,900-6.2%
Idaho$41$3392251,394-6.2%
Nebraska$41$1995394,825-6.6%
Arkansas$41$2635754,023-6.6%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber