61645

Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance

Medicare pricing data for 1,562 providers across 51 states

🤖AI Overview

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 blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance (HCPCS code 61645) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $835.96, but hospitals typically charge $3,735 — a 4.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$167.19

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $835.96, your out-of-pocket cost would be approximately $167.19. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$835.96
Average Hospital Charge
$3,735
Markup Ratio
4.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,734.58
Medicare Allowed$835.96
Medicare Payment$665.60

Hospitals charge 4.5x more than what Medicare allows for this procedure. Medicare actually pays $665.60 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,039$8,629424+24.3%
Puerto Rico$1,019$6,107315+21.8%
New York$978$8,51795707+17.0%
District of Columbia$921$2,389939+10.1%
Illinois$908$3,63360588+8.7%
Florida$901$3,3351431,106+7.8%
New Jersey$891$10,81634305+6.5%
Connecticut$890$3,41916184+6.5%
Maryland$879$3,15023273+5.2%
Michigan$871$2,61446336+4.2%
New Hampshire$868$6,000635+3.9%
Nevada$851$4,3011199+1.8%
West Virginia$843$2,6271155+0.9%
California$843$3,3711861,287+0.8%
Delaware$843$2,199271+0.8%
Georgia$840$2,68730258+0.5%
Louisiana$839$3,63225179+0.4%
Maine$839$4,704675+0.3%
Montana$838$1,701425+0.3%
Washington$835$2,56832277-0.1%
Rhode Island$834$3,187587-0.2%
Virginia$829$2,49243453-0.8%
Hawaii$829$3,316347-0.9%
Pennsylvania$826$3,53275603-1.2%
Ohio$821$2,97352449-1.8%
Missouri$815$3,12637279-2.5%
Colorado$815$3,42522189-2.6%
Texas$808$3,365103832-3.4%
Massachusetts$807$4,05032347-3.5%
Arizona$804$4,75123234-3.8%
Oregon$802$2,53727109-4.0%
New Mexico$800$2,292520-4.3%
Oklahoma$793$2,37124134-5.2%
North Carolina$790$3,42047393-5.5%
Utah$790$2,67822104-5.5%
South Carolina$788$2,46320195-5.7%
Kentucky$786$2,48121211-6.0%
Alabama$782$2,11119170-6.5%
Mississippi$770$2,81516113-7.9%
Minnesota$770$3,18129234-7.9%
South Dakota$767$2,149439-8.2%
North Dakota$766$2,5731053-8.3%
Tennessee$759$3,17745396-9.2%
Kansas$754$2,11713147-9.8%
Vermont$754$4,677215-9.8%
Wisconsin$752$7,19539199-10.0%
Iowa$748$3,30412153-10.6%
Indiana$743$2,14722273-11.2%
Arkansas$737$2,01412130-11.8%
Idaho$731$4,45720111-12.6%
Nebraska$695$2,704749-16.9%

⚠️ 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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