Insertion of stent and blood clot protection device in neck artery with review by radiologist
Medicare pricing data for 3,463 providers across 49 states
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 stent and blood clot protection device in neck artery with review by radiologist (HCPCS code 37215) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $893.67, but hospitals typically charge $3,446 — a 3.9x 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 $893.67, your out-of-pocket cost would be approximately $178.73. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $711.66 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $1,063 | $5,404 | 159 | 726 | +19.0% |
| District of Columbia | $1,044 | $3,236 | 11 | 48 | +16.9% |
| Illinois | $1,015 | $4,508 | 139 | 526 | +13.6% |
| New Jersey | $1,013 | $7,288 | 86 | 315 | +13.4% |
| Connecticut | $1,010 | $4,360 | 46 | 156 | +13.0% |
| Alaska | $1,009 | $9,676 | 7 | 62 | +12.9% |
| Maryland | $1,000 | $2,689 | 63 | 327 | +11.9% |
| Louisiana | $963 | $3,332 | 53 | 251 | +7.7% |
| Rhode Island | $948 | $3,163 | 17 | 84 | +6.1% |
| Michigan | $939 | $2,921 | 125 | 415 | +5.1% |
| Pennsylvania | $938 | $3,051 | 183 | 680 | +5.0% |
| Florida | $938 | $3,198 | 337 | 1,715 | +4.9% |
| Ohio | $937 | $2,898 | 124 | 390 | +4.9% |
| Nevada | $936 | $3,432 | 19 | 70 | +4.7% |
| Delaware | $935 | $2,641 | 9 | 98 | +4.6% |
| Maine | $928 | $2,836 | 22 | 66 | +3.9% |
| Texas | $922 | $3,428 | 282 | 1,158 | +3.2% |
| Massachusetts | $915 | $3,904 | 84 | 353 | +2.4% |
| Georgia | $910 | $3,429 | 103 | 327 | +1.8% |
| Virginia | $907 | $2,925 | 98 | 523 | +1.5% |
| New Mexico | $901 | $2,802 | 12 | 48 | +0.8% |
| North Dakota | $899 | $3,897 | 11 | 43 | +0.6% |
| Mississippi | $889 | $3,510 | 27 | 111 | -0.5% |
| Alabama | $889 | $2,280 | 44 | 183 | -0.6% |
| West Virginia | $884 | $3,133 | 31 | 231 | -1.1% |
| Vermont | $883 | $6,966 | 3 | 19 | -1.2% |
| Kentucky | $883 | $2,470 | 62 | 440 | -1.2% |
| Tennessee | $868 | $2,600 | 99 | 460 | -2.9% |
| Missouri | $862 | $3,242 | 74 | 363 | -3.6% |
| Wisconsin | $860 | $7,931 | 60 | 198 | -3.7% |
| South Carolina | $859 | $3,618 | 61 | 283 | -3.9% |
| California | $857 | $3,434 | 251 | 1,058 | -4.1% |
| Arkansas | $852 | $2,313 | 43 | 284 | -4.7% |
| Minnesota | $844 | $4,420 | 44 | 194 | -5.6% |
| North Carolina | $841 | $3,836 | 109 | 470 | -5.9% |
| Colorado | $840 | $2,644 | 46 | 168 | -6.0% |
| Oklahoma | $835 | $2,847 | 59 | 378 | -6.5% |
| New Hampshire | $828 | $4,558 | 30 | 137 | -7.3% |
| Washington | $828 | $2,605 | 66 | 360 | -7.3% |
| South Dakota | $810 | $4,230 | 17 | 158 | -9.3% |
| Kansas | $794 | $2,743 | 20 | 70 | -11.2% |
| Montana | $784 | $2,790 | 10 | 42 | -12.3% |
| Arizona | $783 | $2,640 | 78 | 377 | -12.4% |
| Idaho | $760 | $2,416 | 19 | 73 | -15.0% |
| Iowa | $709 | $3,115 | 29 | 158 | -20.6% |
| Oregon | $699 | $2,387 | 51 | 213 | -21.8% |
| Indiana | $685 | $2,427 | 77 | 494 | -23.3% |
| Nebraska | $642 | $2,521 | 27 | 161 | -28.2% |
| Utah | $588 | $2,316 | 24 | 100 | -34.2% |
⚠️ 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