37765

Removal of varicose veins of arm or leg, 10-20 incisions

Medicare pricing data for 1,188 providers across 50 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $1,667 but Medicare allows only $301.16. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. Prices vary significantly by location — from $166 in Vermont to $400 in South Dakota. 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 varicose veins of arm or leg, 10-20 incisions (HCPCS code 37765) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $301.16, but hospitals typically charge $1,667 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$60.23

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $301.16, your out-of-pocket cost would be approximately $60.23. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$301.16
Average Hospital Charge
$1,667
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,666.93
Medicare Allowed$301.16
Medicare Payment$236.43

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $236.43 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
South Dakota$400$1,533317+32.8%
Alaska$397$3,499321+31.8%
New Jersey$386$3,29149307+28.1%
Michigan$374$1,20335148+24.1%
Connecticut$365$1,8233190+21.3%
New York$361$2,152110694+19.9%
Pennsylvania$348$1,4722580+15.5%
Georgia$332$1,70753322+10.1%
Hawaii$331$1,469425+9.8%
New Mexico$331$1,388660+9.8%
South Carolina$329$1,3261443+9.1%
Montana$323$1,710523+7.2%
Massachusetts$321$2,06240243+6.7%
Illinois$315$2,04935213+4.7%
Texas$314$1,49177478+4.4%
Arkansas$312$1,4591084+3.5%
California$310$1,97697692+2.9%
Louisiana$301$2,4412070-0.1%
Delaware$300$1,153514-0.5%
Virginia$299$1,21736187-0.6%
Florida$293$1,3791241,521-2.6%
Maryland$293$1,33819328-2.8%
Nevada$292$1,997945-3.1%
Ohio$281$1,28324240-6.8%
Oregon$277$1,6831880-7.9%
Colorado$269$1,55032300-10.8%
Kentucky$268$1,291982-10.9%
Washington$268$1,3892395-11.0%
Arizona$267$1,08030166-11.2%
Missouri$267$1,34416107-11.3%
Utah$267$1,46724101-11.4%
Indiana$261$1,40319155-13.2%
Tennessee$259$1,87833196-13.9%
Kansas$252$1,190537-16.2%
Iowa$251$1,274621-16.7%
North Carolina$248$1,93332142-17.7%
Rhode Island$242$1,833613-19.6%
Wisconsin$242$3,2161757-19.8%
Minnesota$241$1,6542479-20.1%
Alabama$238$1,09720146-20.8%
Wyoming$238$6,062237-20.9%
Nebraska$236$965128-21.8%
Idaho$229$1,1941434-23.9%
New Hampshire$228$2,439932-24.4%
Oklahoma$219$1,431636-27.3%
Maine$203$1,372712-32.6%
North Dakota$202$1,7711530-33.1%
Mississippi$197$1,0757252-34.5%
West Virginia$191$1,012614-36.5%
Vermont$166$2,067318-44.8%

⚠️ 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