Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube
Medicare pricing data for 4,028 providers across 50 states
Prices vary significantly by location — from $399 in Iowa to $3,066 in Rhode Island. 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
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS code 36905) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,956, but hospitals typically charge $6,358 — a 3.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,956, your out-of-pocket cost would be approximately $391.26. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $1,556 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Rhode Island | $3,066 | $10,829 | 4 | 133 | +56.7% |
| Nevada | $2,759 | $9,277 | 33 | 296 | +41.0% |
| New Jersey | $2,625 | $8,751 | 135 | 1,090 | +34.2% |
| Kansas | $2,530 | $5,634 | 25 | 240 | +29.4% |
| Maryland | $2,498 | $5,722 | 82 | 894 | +27.7% |
| Arizona | $2,336 | $6,790 | 66 | 378 | +19.4% |
| Virginia | $2,330 | $7,258 | 122 | 1,053 | +19.1% |
| Pennsylvania | $2,303 | $7,995 | 165 | 934 | +17.7% |
| New York | $2,276 | $7,063 | 238 | 1,566 | +16.3% |
| Texas | $2,218 | $6,830 | 296 | 2,624 | +13.4% |
| Alabama | $2,204 | $6,585 | 57 | 447 | +12.7% |
| Puerto Rico | $2,083 | $4,674 | 14 | 98 | +6.5% |
| Ohio | $2,074 | $7,225 | 106 | 478 | +6.0% |
| Connecticut | $2,074 | $6,405 | 41 | 199 | +6.0% |
| California | $2,057 | $6,592 | 508 | 3,137 | +5.2% |
| Illinois | $1,929 | $5,928 | 205 | 1,079 | -1.4% |
| Oregon | $1,923 | $4,126 | 44 | 133 | -1.7% |
| Tennessee | $1,901 | $6,549 | 70 | 454 | -2.8% |
| North Carolina | $1,865 | $6,888 | 122 | 626 | -4.7% |
| Delaware | $1,823 | $3,185 | 22 | 144 | -6.8% |
| Georgia | $1,819 | $7,550 | 164 | 798 | -7.0% |
| Michigan | $1,796 | $5,566 | 122 | 714 | -8.2% |
| Florida | $1,761 | $5,752 | 321 | 1,562 | -10.0% |
| Indiana | $1,742 | $5,982 | 72 | 367 | -11.0% |
| Minnesota | $1,503 | $4,337 | 69 | 208 | -23.2% |
| Utah | $1,334 | $4,297 | 31 | 97 | -31.8% |
| Mississippi | $1,298 | $5,988 | 39 | 402 | -33.7% |
| Arkansas | $1,279 | $3,299 | 41 | 191 | -34.6% |
| District of Columbia | $1,276 | $5,096 | 14 | 70 | -34.8% |
| Louisiana | $1,252 | $4,983 | 70 | 444 | -36.0% |
| Washington | $1,244 | $3,803 | 70 | 235 | -36.4% |
| South Carolina | $1,198 | $4,633 | 74 | 458 | -38.7% |
| Wisconsin | $1,121 | $7,014 | 82 | 234 | -42.7% |
| Nebraska | $1,100 | $6,270 | 18 | 53 | -43.8% |
| Colorado | $1,067 | $4,131 | 62 | 160 | -45.5% |
| Missouri | $949 | $4,257 | 92 | 336 | -51.5% |
| New Mexico | $881 | $3,713 | 21 | 60 | -55.0% |
| Kentucky | $818 | $3,120 | 39 | 203 | -58.2% |
| Massachusetts | $767 | $2,734 | 66 | 214 | -60.8% |
| Alaska | $575 | $8,059 | 5 | 43 | -70.6% |
| Oklahoma | $446 | $2,195 | 44 | 168 | -77.2% |
| Hawaii | $430 | $1,099 | 7 | 50 | -78.0% |
| West Virginia | $421 | $1,507 | 16 | 29 | -78.5% |
| North Dakota | $414 | $2,257 | 14 | 63 | -78.8% |
| Maine | $410 | $1,521 | 11 | 23 | -79.0% |
| Idaho | $408 | $1,736 | 17 | 47 | -79.1% |
| South Dakota | $408 | $2,191 | 12 | 40 | -79.2% |
| Wyoming | $405 | $2,093 | 6 | 14 | -79.3% |
| New Hampshire | $402 | $2,653 | 10 | 18 | -79.5% |
| Iowa | $399 | $4,578 | 29 | 73 | -79.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber