Insertion of stent in arteries of leg
Medicare pricing data for 5,134 providers across 52 states
This procedure has a 7.5x markup — hospitals charge $9,796 but Medicare allows only $1,312. Uninsured patients may face bills 7.5 times higher than what insurance negotiates. Prices vary significantly by location — from $349 in Nebraska to $2,953 in Maryland. 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 arteries of leg (HCPCS code 37226) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,312, but hospitals typically charge $9,796 — a 7.5x 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 $1,312, your out-of-pocket cost would be approximately $262.31. 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 7.5x more than what Medicare allows for this procedure. Medicare actually pays $1,045 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $2,953 | $8,667 | 97 | 414 | +125.2% |
| Delaware | $2,730 | $13,222 | 22 | 108 | +108.1% |
| Connecticut | $2,446 | $18,093 | 57 | 139 | +86.5% |
| California | $2,360 | $16,298 | 385 | 1,242 | +80.0% |
| Kansas | $2,291 | $9,107 | 54 | 264 | +74.7% |
| Georgia | $1,723 | $16,136 | 156 | 429 | +31.3% |
| New Jersey | $1,692 | $13,431 | 159 | 548 | +29.0% |
| Michigan | $1,647 | $6,127 | 174 | 453 | +25.6% |
| Florida | $1,630 | $7,794 | 447 | 1,302 | +24.2% |
| Massachusetts | $1,588 | $9,332 | 127 | 455 | +21.1% |
| Louisiana | $1,582 | $15,509 | 105 | 246 | +20.6% |
| North Carolina | $1,579 | $11,428 | 150 | 497 | +20.4% |
| Mississippi | $1,505 | $12,239 | 40 | 82 | +14.7% |
| Arizona | $1,427 | $6,952 | 122 | 352 | +8.8% |
| South Dakota | $1,374 | $5,339 | 29 | 142 | +4.8% |
| Texas | $1,345 | $9,394 | 460 | 1,199 | +2.6% |
| Oregon | $1,309 | $7,715 | 53 | 172 | -0.2% |
| Alabama | $1,223 | $6,888 | 75 | 223 | -6.8% |
| New York | $1,184 | $19,085 | 314 | 1,204 | -9.7% |
| Tennessee | $1,176 | $8,170 | 146 | 537 | -10.4% |
| South Carolina | $971 | $6,853 | 96 | 322 | -26.0% |
| Illinois | $927 | $12,279 | 200 | 556 | -29.3% |
| Virginia | $926 | $8,123 | 131 | 319 | -29.4% |
| Alaska | $903 | $51,044 | 8 | 21 | -31.1% |
| Wisconsin | $867 | $9,628 | 111 | 296 | -33.9% |
| Arkansas | $741 | $3,468 | 61 | 258 | -43.5% |
| Indiana | $734 | $9,705 | 103 | 302 | -44.0% |
| Missouri | $720 | $7,343 | 111 | 374 | -45.1% |
| Washington | $681 | $4,336 | 76 | 282 | -48.1% |
| Kentucky | $666 | $3,185 | 83 | 366 | -49.3% |
| Pennsylvania | $565 | $4,898 | 252 | 857 | -56.9% |
| District of Columbia | $496 | $3,448 | 9 | 48 | -62.2% |
| Oklahoma | $451 | $1,889 | 64 | 218 | -65.6% |
| Nevada | $450 | $2,909 | 31 | 70 | -65.7% |
| Rhode Island | $432 | $5,703 | 14 | 70 | -67.0% |
| Montana | $430 | $4,199 | 16 | 39 | -67.3% |
| West Virginia | $429 | $2,725 | 28 | 141 | -67.3% |
| Wyoming | $427 | $2,977 | 9 | 45 | -67.4% |
| New Mexico | $422 | $5,087 | 12 | 32 | -67.8% |
| Ohio | $414 | $3,190 | 156 | 477 | -68.4% |
| Maine | $408 | $5,293 | 18 | 53 | -68.9% |
| Minnesota | $407 | $5,671 | 80 | 294 | -69.0% |
| New Hampshire | $401 | $6,754 | 33 | 99 | -69.4% |
| Colorado | $384 | $5,093 | 57 | 120 | -70.7% |
| North Dakota | $381 | $4,329 | 20 | 63 | -71.0% |
| Iowa | $372 | $13,298 | 35 | 94 | -71.6% |
| Hawaii | $372 | $3,388 | 7 | 21 | -71.7% |
| Idaho | $368 | $3,730 | 25 | 91 | -71.9% |
| Utah | $354 | $1,502 | 23 | 62 | -73.0% |
| Puerto Rico | $352 | $2,279 | 9 | 15 | -73.2% |
| Vermont | $351 | $44,090 | 5 | 16 | -73.2% |
| Nebraska | $349 | $12,129 | 30 | 136 | -73.4% |
⚠️ 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