Balloon dilation of artery of leg, initial vessel
Medicare pricing data for 6,330 providers across 52 states
This procedure has a 6.9x markup — hospitals charge $7,308 but Medicare allows only $1,060. Uninsured patients may face bills 6.9 times higher than what insurance negotiates. Prices vary significantly by location — from $397 in Nebraska to $1,737 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
Balloon dilation of artery of leg, initial vessel (HCPCS code 37228) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,060, but hospitals typically charge $7,308 — a 6.9x 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 $1,060, your out-of-pocket cost would be approximately $211.97. 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 6.9x more than what Medicare allows for this procedure. Medicare actually pays $844.45 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $1,737 | $7,052 | 114 | 764 | +63.9% |
| Arizona | $1,723 | $7,130 | 185 | 664 | +62.6% |
| Connecticut | $1,697 | $13,703 | 66 | 251 | +60.1% |
| Nevada | $1,673 | $5,778 | 43 | 138 | +57.9% |
| Delaware | $1,606 | $8,790 | 25 | 156 | +51.6% |
| California | $1,391 | $10,189 | 602 | 3,046 | +31.2% |
| Alaska | $1,363 | $36,587 | 18 | 71 | +28.6% |
| Mississippi | $1,319 | $9,418 | 64 | 273 | +24.4% |
| Kansas | $1,264 | $6,671 | 56 | 409 | +19.3% |
| New Jersey | $1,251 | $8,699 | 191 | 835 | +18.0% |
| Michigan | $1,245 | $4,453 | 214 | 732 | +17.5% |
| South Dakota | $1,218 | $5,662 | 29 | 287 | +14.9% |
| Georgia | $1,186 | $10,705 | 191 | 622 | +11.9% |
| Florida | $1,171 | $6,219 | 551 | 2,215 | +10.5% |
| Massachusetts | $1,136 | $7,282 | 121 | 582 | +7.2% |
| Louisiana | $1,132 | $9,620 | 118 | 337 | +6.8% |
| Texas | $1,126 | $7,253 | 643 | 2,598 | +6.3% |
| New York | $1,105 | $13,455 | 346 | 1,692 | +4.3% |
| Utah | $1,011 | $4,845 | 35 | 107 | -4.6% |
| District of Columbia | $992 | $4,487 | 13 | 146 | -6.4% |
| New Mexico | $982 | $5,373 | 22 | 118 | -7.4% |
| Tennessee | $978 | $5,331 | 154 | 683 | -7.7% |
| Oregon | $960 | $4,539 | 59 | 243 | -9.4% |
| Virginia | $917 | $4,774 | 168 | 569 | -13.5% |
| North Carolina | $909 | $7,211 | 192 | 1,002 | -14.2% |
| Washington | $899 | $4,246 | 85 | 439 | -15.2% |
| South Carolina | $876 | $9,414 | 116 | 414 | -17.3% |
| Alabama | $830 | $3,596 | 96 | 308 | -21.7% |
| Arkansas | $791 | $3,658 | 80 | 441 | -25.4% |
| Illinois | $781 | $6,961 | 278 | 1,272 | -26.3% |
| Iowa | $772 | $10,246 | 52 | 183 | -27.2% |
| Wisconsin | $763 | $8,209 | 119 | 450 | -28.0% |
| Colorado | $704 | $4,400 | 74 | 265 | -33.6% |
| Indiana | $696 | $5,951 | 135 | 576 | -34.3% |
| Kentucky | $689 | $3,121 | 81 | 417 | -35.0% |
| Missouri | $671 | $5,526 | 125 | 478 | -36.7% |
| Oklahoma | $636 | $3,504 | 85 | 362 | -40.0% |
| Ohio | $591 | $2,490 | 181 | 808 | -44.2% |
| Pennsylvania | $582 | $4,215 | 255 | 898 | -45.1% |
| Minnesota | $562 | $6,026 | 90 | 364 | -46.9% |
| Rhode Island | $509 | $4,029 | 15 | 84 | -52.0% |
| Puerto Rico | $494 | $563 | 12 | 22 | -53.4% |
| West Virginia | $489 | $2,840 | 34 | 183 | -53.8% |
| Montana | $489 | $2,693 | 18 | 60 | -53.9% |
| Maine | $484 | $4,427 | 24 | 65 | -54.3% |
| New Hampshire | $483 | $8,688 | 33 | 119 | -54.4% |
| Hawaii | $473 | $2,405 | 15 | 56 | -55.4% |
| Vermont | $467 | $19,837 | 4 | 14 | -55.9% |
| North Dakota | $461 | $3,861 | 19 | 109 | -56.5% |
| Wyoming | $461 | $3,691 | 8 | 31 | -56.5% |
| Idaho | $423 | $3,362 | 30 | 118 | -60.1% |
| Nebraska | $397 | $9,686 | 28 | 121 | -62.6% |
⚠️ 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