36901

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist

Medicare pricing data for 5,952 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $148 in Wyoming to $642 in Delaware. Where you get this procedure matters more than almost any other factor. 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 needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS code 36901) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $358.87, but hospitals typically charge $1,332 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$71.77

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $358.87, your out-of-pocket cost would be approximately $71.77. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$358.87
Average Hospital Charge
$1,332
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,331.83
Medicare Allowed$358.87
Medicare Payment$281.93

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $281.93 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$642$88518177+78.8%
Connecticut$559$2,00977372+55.7%
Puerto Rico$500$9832072+39.2%
New Jersey$447$1,5211991,614+24.5%
Maryland$442$1,159118916+23.0%
Michigan$434$1,1541811,385+20.9%
New York$433$1,4413582,676+20.6%
Illinois$428$1,5762942,360+19.3%
Texas$403$1,3994734,330+12.3%
California$393$1,6236244,133+9.6%
Alabama$393$1,11787550+9.5%
Alaska$386$3,62516118+7.6%
Georgia$383$1,8021961,560+6.8%
Florida$369$1,3164612,490+2.8%
Arizona$363$1,2751061,044+1.0%
Virginia$358$1,0821691,487-0.2%
North Carolina$358$1,2731931,586-0.3%
Tennessee$338$1,237126737-5.9%
New Mexico$330$1,33042318-8.0%
Oregon$327$93858295-8.8%
South Dakota$321$1,06622125-10.4%
Rhode Island$314$1,0707161-12.6%
Nevada$314$1,14745716-12.6%
Utah$300$1,01640214-16.4%
Colorado$297$1,29995343-17.1%
Hawaii$294$7191851-18.1%
Pennsylvania$291$1,1822821,485-18.9%
Mississippi$288$1,24452578-19.6%
Kansas$286$95140407-20.2%
Massachusetts$281$1,083107508-21.8%
Indiana$279$1,242126868-22.4%
Ohio$276$1,0931911,164-23.0%
South Carolina$275$1,074103664-23.3%
Louisiana$261$1,11178667-27.3%
Kentucky$260$99480401-27.5%
Iowa$259$1,39050216-27.7%
District of Columbia$259$1,01415147-27.9%
Minnesota$258$1,850104503-28.1%
Arkansas$246$73555487-31.4%
Missouri$234$893125841-34.8%
Washington$230$806114386-35.9%
Nebraska$182$1,51928147-49.4%
Oklahoma$180$62351489-49.9%
Wisconsin$173$2,030131555-51.7%
Montana$156$7241848-56.6%
New Hampshire$155$1,1592874-56.8%
West Virginia$153$61126119-57.3%
North Dakota$153$8481887-57.4%
Vermont$152$3,025819-57.6%
Maine$150$4462069-58.2%
Idaho$148$74029130-58.7%
Wyoming$148$832618-58.8%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber