Removal of blood clot and portion of upper thigh artery
Medicare pricing data for 3,155 providers across 48 states
This procedure has a 5.0x markup — hospitals charge $2,735 but Medicare allows only $543.78. Uninsured patients may face bills 5.0 times higher than what insurance negotiates. Prices vary significantly by location — from $341 in Montana to $715 in Vermont. 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 blood clot and portion of upper thigh artery (HCPCS code 35371) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $543.78, but hospitals typically charge $2,735 — a 5.0x 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 $543.78, your out-of-pocket cost would be approximately $108.76. 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 5.0x more than what Medicare allows for this procedure. Medicare actually pays $432.82 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Vermont | $715 | $3,912 | 4 | 17 | +31.6% |
| Delaware | $691 | $2,869 | 10 | 18 | +27.0% |
| Illinois | $683 | $4,551 | 105 | 270 | +25.6% |
| Ohio | $663 | $2,457 | 91 | 203 | +21.9% |
| Michigan | $623 | $2,081 | 97 | 224 | +14.5% |
| South Carolina | $619 | $3,303 | 63 | 190 | +13.9% |
| Massachusetts | $616 | $2,884 | 77 | 190 | +13.3% |
| Pennsylvania | $613 | $3,017 | 161 | 384 | +12.7% |
| Connecticut | $609 | $2,855 | 55 | 126 | +12.0% |
| Virginia | $594 | $2,177 | 78 | 174 | +9.3% |
| Rhode Island | $590 | $3,274 | 8 | 22 | +8.5% |
| Tennessee | $588 | $2,171 | 77 | 207 | +8.1% |
| New Jersey | $576 | $3,318 | 93 | 178 | +5.9% |
| Oklahoma | $573 | $2,021 | 33 | 115 | +5.3% |
| Georgia | $571 | $2,409 | 92 | 184 | +5.0% |
| Iowa | $568 | $2,541 | 34 | 77 | +4.5% |
| Maryland | $562 | $1,975 | 57 | 126 | +3.4% |
| Louisiana | $561 | $2,009 | 44 | 86 | +3.2% |
| Florida | $559 | $2,337 | 253 | 634 | +2.8% |
| New York | $556 | $3,126 | 173 | 402 | +2.2% |
| Texas | $553 | $2,699 | 222 | 552 | +1.6% |
| South Dakota | $534 | $3,128 | 18 | 39 | -1.8% |
| New Hampshire | $532 | $3,764 | 33 | 94 | -2.1% |
| Idaho | $531 | $1,974 | 24 | 77 | -2.3% |
| Maine | $530 | $2,232 | 23 | 56 | -2.5% |
| Kentucky | $525 | $2,008 | 61 | 161 | -3.4% |
| Missouri | $520 | $2,679 | 69 | 162 | -4.3% |
| Mississippi | $520 | $2,505 | 25 | 74 | -4.4% |
| Minnesota | $515 | $3,897 | 57 | 196 | -5.3% |
| California | $511 | $2,461 | 230 | 484 | -6.1% |
| Arizona | $505 | $2,426 | 55 | 115 | -7.1% |
| North Dakota | $505 | $4,275 | 14 | 27 | -7.2% |
| Alabama | $504 | $2,470 | 56 | 130 | -7.4% |
| Colorado | $503 | $2,280 | 48 | 98 | -7.4% |
| Indiana | $502 | $2,325 | 63 | 138 | -7.7% |
| Kansas | $482 | $2,118 | 20 | 31 | -11.4% |
| Wisconsin | $478 | $5,951 | 84 | 222 | -12.0% |
| North Carolina | $458 | $2,792 | 127 | 325 | -15.7% |
| Washington | $446 | $1,888 | 69 | 206 | -18.0% |
| Arkansas | $443 | $2,008 | 30 | 82 | -18.4% |
| New Mexico | $436 | $2,260 | 12 | 31 | -19.8% |
| Nevada | $432 | $2,364 | 28 | 61 | -20.5% |
| West Virginia | $431 | $2,022 | 27 | 71 | -20.7% |
| Oregon | $411 | $1,984 | 55 | 158 | -24.4% |
| Utah | $385 | $1,711 | 21 | 44 | -29.2% |
| Hawaii | $363 | $1,910 | 6 | 12 | -33.3% |
| Nebraska | $360 | $2,098 | 38 | 123 | -33.8% |
| Montana | $341 | $1,585 | 16 | 48 | -37.3% |
⚠️ 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