37233

Removal of plaque in artery of leg, each additional vessel

Medicare pricing data for 758 providers across 37 states

🤖AI Overview

Prices vary significantly by location — from $315 in New Mexico to $1,235 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 in artery of leg, each additional vessel (HCPCS code 37233) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,088, but hospitals typically charge $3,327 — a 3.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$217.56

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $1,088, your out-of-pocket cost would be approximately $217.56. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$1,088
Average Hospital Charge
$3,327
Markup Ratio
3.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,326.90
Medicare Allowed$1,087.80
Medicare Payment$867.45

Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $867.45 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$1,235$3,325537+13.5%
New York$1,228$3,42261682+12.9%
New Jersey$1,178$3,87637293+8.3%
Maryland$1,174$3,24028281+7.9%
Hawaii$1,145$3,015215+5.2%
California$1,144$3,4401071,745+5.2%
Connecticut$1,142$5,2971120+5.0%
Washington$1,138$3,591215+4.7%
Virginia$1,094$4,0101849+0.6%
Pennsylvania$1,086$2,410874-0.1%
Illinois$1,075$5,5031280-1.2%
Ohio$1,059$2,693511-2.7%
Colorado$1,058$3,921440-2.7%
Florida$1,058$2,868114819-2.7%
Nevada$1,045$2,911420-3.9%
Massachusetts$1,032$3,7751048-5.2%
Indiana$1,025$4,332520-5.8%
South Dakota$1,019$4,470557-6.3%
Missouri$1,018$4,542716-6.4%
Arizona$1,011$2,62534195-7.1%
Texas$1,002$3,00596720-7.9%
Michigan$998$3,19025207-8.2%
Utah$984$3,075664-9.5%
Louisiana$983$7,1471443-9.6%
Georgia$978$4,0922262-10.1%
South Carolina$968$2,634955-11.0%
Kentucky$961$4,093737-11.6%
Kansas$952$2,891743-12.5%
Wisconsin$948$2,904319-12.9%
Nebraska$947$3,404212-12.9%
Tennessee$928$2,46628202-14.6%
Oklahoma$926$4,291479-14.9%
North Carolina$924$2,6871342-15.0%
Arkansas$915$2,142745-15.9%
Alabama$910$2,7331322-16.3%
Mississippi$904$4,248880-16.9%
New Mexico$315$1,931632-71.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber