Insertion of stent in groin artery, initial vessel
Medicare pricing data for 6,209 providers across 51 states
This procedure has a 7.6x markup — hospitals charge $7,206 but Medicare allows only $946.71. Uninsured patients may face bills 7.6 times higher than what insurance negotiates. Prices vary significantly by location — from $334 in Utah to $1,803 in Alaska. 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 stent in groin artery, initial vessel (HCPCS code 37221) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $946.71, but hospitals typically charge $7,206 — a 7.6x 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 $946.71, your out-of-pocket cost would be approximately $189.34. 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 7.6x more than what Medicare allows for this procedure. Medicare actually pays $753.48 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,803 | $28,467 | 13 | 43 | +90.5% |
| Hawaii | $1,802 | $6,846 | 16 | 55 | +90.3% |
| Maryland | $1,614 | $6,492 | 106 | 487 | +70.5% |
| Arizona | $1,414 | $6,624 | 192 | 551 | +49.4% |
| Connecticut | $1,354 | $10,772 | 77 | 209 | +43.0% |
| Delaware | $1,339 | $6,380 | 28 | 91 | +41.5% |
| Florida | $1,257 | $6,218 | 592 | 2,051 | +32.7% |
| New Jersey | $1,249 | $10,569 | 192 | 597 | +31.9% |
| California | $1,240 | $10,175 | 480 | 1,426 | +31.0% |
| Michigan | $1,167 | $4,545 | 242 | 677 | +23.3% |
| Alabama | $1,124 | $6,453 | 107 | 324 | +18.7% |
| Oregon | $1,123 | $5,413 | 72 | 266 | +18.6% |
| Nevada | $1,106 | $6,155 | 46 | 122 | +16.8% |
| Georgia | $1,085 | $11,656 | 183 | 571 | +14.6% |
| Tennessee | $1,077 | $7,039 | 185 | 761 | +13.7% |
| Louisiana | $1,042 | $9,171 | 141 | 371 | +10.1% |
| Texas | $984 | $7,943 | 559 | 1,587 | +3.9% |
| South Dakota | $981 | $5,129 | 29 | 230 | +3.6% |
| Kansas | $976 | $7,543 | 53 | 261 | +3.1% |
| New York | $944 | $10,809 | 317 | 993 | -0.2% |
| Virginia | $935 | $5,120 | 148 | 460 | -1.3% |
| Mississippi | $914 | $9,118 | 63 | 239 | -3.5% |
| Massachusetts | $883 | $6,234 | 127 | 452 | -6.8% |
| Nebraska | $793 | $9,780 | 34 | 207 | -16.2% |
| Kentucky | $748 | $3,138 | 95 | 403 | -21.0% |
| Colorado | $733 | $5,105 | 67 | 194 | -22.6% |
| North Carolina | $724 | $6,522 | 167 | 553 | -23.5% |
| South Carolina | $709 | $10,295 | 114 | 420 | -25.1% |
| Illinois | $703 | $8,174 | 249 | 782 | -25.7% |
| Arkansas | $679 | $2,788 | 83 | 341 | -28.3% |
| Iowa | $670 | $9,994 | 55 | 209 | -29.2% |
| Oklahoma | $630 | $3,378 | 78 | 309 | -33.5% |
| Pennsylvania | $609 | $4,339 | 254 | 780 | -35.6% |
| Washington | $600 | $3,362 | 87 | 344 | -36.6% |
| Missouri | $561 | $5,584 | 123 | 475 | -40.7% |
| District of Columbia | $526 | $3,391 | 7 | 41 | -44.4% |
| Wisconsin | $516 | $11,553 | 134 | 386 | -45.5% |
| Indiana | $513 | $6,113 | 132 | 419 | -45.8% |
| Ohio | $513 | $3,797 | 186 | 603 | -45.8% |
| Wyoming | $458 | $3,348 | 9 | 32 | -51.6% |
| West Virginia | $440 | $5,492 | 40 | 168 | -53.5% |
| Montana | $439 | $2,683 | 28 | 104 | -53.6% |
| Rhode Island | $424 | $4,886 | 18 | 65 | -55.2% |
| New Mexico | $406 | $6,613 | 17 | 42 | -57.1% |
| Vermont | $406 | $21,047 | 5 | 17 | -57.2% |
| North Dakota | $399 | $5,548 | 22 | 77 | -57.9% |
| Maine | $380 | $2,990 | 22 | 78 | -59.8% |
| Idaho | $379 | $3,518 | 30 | 135 | -59.9% |
| Minnesota | $378 | $6,093 | 92 | 333 | -60.0% |
| New Hampshire | $372 | $10,245 | 38 | 113 | -60.7% |
| Utah | $334 | $2,585 | 23 | 48 | -64.7% |
⚠️ 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