Balloon dilation of artery of leg
Medicare pricing data for 6,927 providers across 51 states
This procedure has a 8.5x markup — hospitals charge $5,017 but Medicare allows only $587.30. Uninsured patients may face bills 8.5 times higher than what insurance negotiates. Prices vary significantly by location — from $250 in Hawaii to $1,340 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
Balloon dilation of artery of leg (HCPCS code 37224) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $587.30, but hospitals typically charge $5,017 — a 8.5x 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 $587.30, your out-of-pocket cost would be approximately $117.46. 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 8.5x more than what Medicare allows for this procedure. Medicare actually pays $467.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,340 | $21,823 | 17 | 96 | +128.2% |
| Connecticut | $1,000 | $8,982 | 78 | 273 | +70.3% |
| Maryland | $997 | $4,551 | 117 | 705 | +69.8% |
| Arizona | $848 | $4,528 | 183 | 559 | +44.4% |
| California | $796 | $7,166 | 632 | 2,703 | +35.5% |
| Michigan | $725 | $2,680 | 248 | 735 | +23.5% |
| Louisiana | $725 | $7,388 | 144 | 367 | +23.4% |
| Florida | $703 | $4,324 | 591 | 1,941 | +19.7% |
| Delaware | $700 | $5,046 | 32 | 118 | +19.2% |
| Mississippi | $698 | $5,344 | 69 | 268 | +18.9% |
| Georgia | $676 | $7,776 | 195 | 579 | +15.0% |
| New Jersey | $670 | $6,588 | 198 | 722 | +14.2% |
| Massachusetts | $647 | $4,425 | 137 | 673 | +10.2% |
| New York | $641 | $10,015 | 354 | 1,477 | +9.1% |
| Nevada | $635 | $5,839 | 49 | 136 | +8.1% |
| Texas | $622 | $5,019 | 679 | 2,139 | +5.9% |
| Virginia | $596 | $2,756 | 182 | 663 | +1.5% |
| Oregon | $565 | $2,821 | 68 | 273 | -3.9% |
| Tennessee | $564 | $3,177 | 180 | 627 | -4.0% |
| Alabama | $549 | $2,563 | 105 | 280 | -6.5% |
| Kansas | $535 | $4,763 | 61 | 370 | -8.8% |
| North Carolina | $523 | $5,415 | 212 | 865 | -11.0% |
| South Carolina | $479 | $7,741 | 111 | 435 | -18.5% |
| Illinois | $466 | $5,299 | 307 | 1,216 | -20.7% |
| Washington | $454 | $2,623 | 118 | 535 | -22.6% |
| Colorado | $444 | $2,991 | 73 | 274 | -24.4% |
| Iowa | $431 | $6,010 | 56 | 209 | -26.6% |
| Wisconsin | $417 | $8,089 | 143 | 560 | -29.0% |
| Kentucky | $405 | $1,727 | 104 | 385 | -31.0% |
| Arkansas | $405 | $1,872 | 85 | 386 | -31.0% |
| Missouri | $395 | $3,794 | 141 | 536 | -32.7% |
| Minnesota | $386 | $4,057 | 99 | 423 | -34.2% |
| District of Columbia | $385 | $2,811 | 14 | 141 | -34.5% |
| Pennsylvania | $382 | $2,918 | 293 | 1,169 | -34.9% |
| Ohio | $377 | $1,939 | 212 | 979 | -35.8% |
| Indiana | $357 | $4,168 | 150 | 573 | -39.2% |
| Oklahoma | $350 | $1,928 | 101 | 478 | -40.4% |
| New Hampshire | $348 | $4,732 | 37 | 173 | -40.7% |
| Montana | $343 | $2,340 | 30 | 87 | -41.7% |
| West Virginia | $340 | $2,139 | 42 | 201 | -42.1% |
| Wyoming | $334 | $5,906 | 9 | 28 | -43.1% |
| Maine | $330 | $2,538 | 32 | 105 | -43.8% |
| Rhode Island | $329 | $3,429 | 19 | 124 | -44.0% |
| New Mexico | $327 | $2,957 | 15 | 77 | -44.3% |
| Utah | $313 | $3,406 | 26 | 71 | -46.8% |
| North Dakota | $306 | $3,253 | 26 | 132 | -47.9% |
| Idaho | $306 | $3,074 | 31 | 156 | -47.9% |
| Puerto Rico | $297 | $3,150 | 12 | 21 | -49.4% |
| South Dakota | $296 | $1,418 | 23 | 161 | -49.7% |
| Nebraska | $286 | $6,144 | 33 | 208 | -51.3% |
| Hawaii | $250 | $2,230 | 16 | 47 | -57.4% |
⚠️ 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