Removal of plaque and insertion of stents in arteries of leg
Medicare pricing data for 3,230 providers across 46 states
Prices vary significantly by location — from $491 in Montana to $12,701 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
Removal of plaque and insertion of stents in arteries of leg (HCPCS code 37227) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $8,419, but hospitals typically charge $27,552 — a 3.3x 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 $8,419, your out-of-pocket cost would be approximately $1,684. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $6,715 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $12,701 | $61,252 | 2 | 18 | +50.9% |
| District of Columbia | $12,249 | $31,188 | 6 | 42 | +45.5% |
| Maryland | $11,311 | $25,646 | 67 | 985 | +34.3% |
| Hawaii | $11,181 | $36,011 | 2 | 42 | +32.8% |
| New Jersey | $10,603 | $33,639 | 127 | 1,124 | +25.9% |
| California | $10,028 | $31,961 | 271 | 2,118 | +19.1% |
| New York | $9,999 | $32,925 | 195 | 1,473 | +18.8% |
| Connecticut | $9,992 | $42,508 | 38 | 142 | +18.7% |
| Virginia | $9,471 | $35,602 | 69 | 303 | +12.5% |
| Oregon | $9,237 | $31,139 | 27 | 150 | +9.7% |
| Delaware | $9,177 | $30,788 | 16 | 93 | +9.0% |
| Massachusetts | $9,065 | $40,964 | 37 | 244 | +7.7% |
| South Dakota | $8,975 | $35,645 | 14 | 242 | +6.6% |
| Florida | $8,724 | $24,687 | 398 | 2,811 | +3.6% |
| Michigan | $8,298 | $20,868 | 97 | 500 | -1.4% |
| Tennessee | $8,160 | $24,890 | 108 | 860 | -3.1% |
| Texas | $8,107 | $27,334 | 365 | 1,634 | -3.7% |
| Arizona | $7,961 | $23,587 | 129 | 614 | -5.4% |
| Nevada | $7,737 | $20,964 | 24 | 128 | -8.1% |
| Washington | $7,687 | $20,884 | 30 | 107 | -8.7% |
| South Carolina | $7,542 | $25,041 | 50 | 170 | -10.4% |
| Kentucky | $7,440 | $24,860 | 37 | 157 | -11.6% |
| Kansas | $7,356 | $29,454 | 37 | 375 | -12.6% |
| Alabama | $7,214 | $17,618 | 63 | 352 | -14.3% |
| Georgia | $7,188 | $33,802 | 110 | 452 | -14.6% |
| Mississippi | $7,115 | $29,699 | 44 | 251 | -15.5% |
| Pennsylvania | $6,974 | $19,744 | 87 | 495 | -17.2% |
| Illinois | $6,855 | $32,254 | 113 | 597 | -18.6% |
| Utah | $6,737 | $17,592 | 12 | 85 | -20.0% |
| Colorado | $6,610 | $29,173 | 27 | 73 | -21.5% |
| North Carolina | $6,196 | $23,153 | 78 | 293 | -26.4% |
| Louisiana | $5,762 | $30,363 | 93 | 307 | -31.6% |
| Wisconsin | $5,747 | $19,852 | 33 | 80 | -31.7% |
| Indiana | $5,531 | $20,880 | 49 | 172 | -34.3% |
| Oklahoma | $5,454 | $27,369 | 41 | 265 | -35.2% |
| Missouri | $5,142 | $19,795 | 64 | 275 | -38.9% |
| Iowa | $4,740 | $25,716 | 29 | 128 | -43.7% |
| Nebraska | $4,567 | $27,591 | 16 | 155 | -45.8% |
| New Mexico | $4,370 | $14,709 | 8 | 39 | -48.1% |
| Arkansas | $4,328 | $11,579 | 46 | 224 | -48.6% |
| Minnesota | $4,167 | $21,337 | 22 | 46 | -50.5% |
| Ohio | $4,142 | $15,043 | 73 | 205 | -50.8% |
| West Virginia | $684 | $2,947 | 11 | 44 | -91.9% |
| New Hampshire | $679 | $23,976 | 7 | 12 | -91.9% |
| Idaho | $565 | $4,547 | 10 | 20 | -93.3% |
| Montana | $491 | $11,890 | 5 | 12 | -94.2% |
⚠️ 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