Balloon dilation of dialysis segment with review by radiologist
Medicare pricing data for 4,726 providers across 51 states
Prices vary significantly by location — from $130 in Nebraska to $669 in Wyoming. 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
Balloon dilation of dialysis segment with review by radiologist (HCPCS code 36907) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $366.97, but hospitals typically charge $1,282 — a 3.5x 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 $366.97, your out-of-pocket cost would be approximately $73.39. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $292.71 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Wyoming | $669 | $1,668 | 1 | 13 | +82.4% |
| Delaware | $595 | $1,161 | 8 | 122 | +62.1% |
| Connecticut | $569 | $2,221 | 58 | 446 | +55.0% |
| New York | $554 | $1,925 | 303 | 4,888 | +50.8% |
| Puerto Rico | $444 | $825 | 15 | 71 | +21.1% |
| New Mexico | $443 | $2,085 | 31 | 318 | +20.8% |
| Michigan | $431 | $1,188 | 154 | 1,449 | +17.4% |
| Maryland | $417 | $1,237 | 101 | 1,324 | +13.6% |
| California | $416 | $1,496 | 566 | 5,824 | +13.3% |
| Florida | $408 | $1,083 | 361 | 3,197 | +11.0% |
| New Jersey | $393 | $1,088 | 158 | 1,849 | +7.1% |
| Indiana | $388 | $1,181 | 100 | 1,541 | +5.8% |
| Texas | $378 | $1,309 | 333 | 3,023 | +3.0% |
| Alaska | $371 | $3,701 | 17 | 175 | +1.0% |
| Virginia | $368 | $1,015 | 141 | 1,735 | +0.4% |
| Alabama | $330 | $802 | 58 | 353 | -10.2% |
| North Carolina | $306 | $1,045 | 139 | 1,095 | -16.6% |
| Georgia | $305 | $1,531 | 177 | 1,419 | -17.0% |
| Tennessee | $300 | $1,053 | 94 | 597 | -18.2% |
| South Carolina | $291 | $1,154 | 72 | 575 | -20.8% |
| Colorado | $290 | $1,061 | 93 | 311 | -21.1% |
| Massachusetts | $287 | $1,009 | 100 | 442 | -21.7% |
| Hawaii | $283 | $755 | 22 | 91 | -22.8% |
| Pennsylvania | $282 | $990 | 203 | 1,330 | -23.1% |
| Illinois | $278 | $1,155 | 206 | 1,782 | -24.3% |
| South Dakota | $276 | $1,056 | 20 | 102 | -24.8% |
| Arizona | $273 | $913 | 82 | 757 | -25.6% |
| District of Columbia | $270 | $1,030 | 14 | 187 | -26.5% |
| Oregon | $265 | $1,154 | 48 | 127 | -27.9% |
| Iowa | $241 | $1,333 | 36 | 125 | -34.4% |
| Washington | $236 | $726 | 88 | 394 | -35.8% |
| Minnesota | $220 | $1,194 | 89 | 335 | -40.0% |
| Kentucky | $201 | $1,018 | 68 | 366 | -45.2% |
| Missouri | $197 | $787 | 94 | 589 | -46.2% |
| Louisiana | $197 | $794 | 61 | 492 | -46.4% |
| Utah | $195 | $681 | 33 | 118 | -46.8% |
| Kansas | $195 | $661 | 27 | 211 | -46.8% |
| Arkansas | $192 | $833 | 44 | 227 | -47.7% |
| Oklahoma | $173 | $956 | 43 | 277 | -52.9% |
| Ohio | $166 | $777 | 129 | 752 | -54.7% |
| Mississippi | $162 | $882 | 42 | 232 | -55.8% |
| Nevada | $156 | $533 | 35 | 592 | -57.5% |
| Rhode Island | $147 | $377 | 2 | 129 | -59.9% |
| West Virginia | $142 | $626 | 14 | 47 | -61.3% |
| Maine | $142 | $362 | 12 | 45 | -61.4% |
| New Hampshire | $142 | $1,917 | 16 | 56 | -61.4% |
| Montana | $138 | $817 | 16 | 35 | -62.5% |
| North Dakota | $136 | $1,136 | 17 | 101 | -62.9% |
| Idaho | $133 | $570 | 22 | 93 | -63.7% |
| Wisconsin | $132 | $1,963 | 106 | 405 | -64.1% |
| Nebraska | $130 | $1,151 | 26 | 116 | -64.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber