36561

Insertion of central venous tube with port (5 years or older)

Medicare pricing data for 15,124 providers across 52 states

🤖AI Overview

This procedure has a 7.1x markup — hospitals charge $2,766 but Medicare allows only $391.80. Uninsured patients may face bills 7.1 times higher than what insurance negotiates. Prices vary significantly by location — from $300 in Vermont to $618 in Alaska. 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

Insertion of central venous tube with port (5 years or older) (HCPCS code 36561) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $391.80, but hospitals typically charge $2,766 — a 7.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$78.36

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $391.80, your out-of-pocket cost would be approximately $78.36. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$391.80
Average Hospital Charge
$2,766
Markup Ratio
7.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,766.42
Medicare Allowed$391.80
Medicare Payment$311.02

Hospitals charge 7.1x more than what Medicare allows for this procedure. Medicare actually pays $311.02 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$618$7,10353469+57.9%
Nevada$526$3,179116674+34.2%
Nebraska$483$3,1881361,365+23.2%
California$467$3,2321,0538,830+19.2%
New York$464$3,8837165,217+18.4%
Maryland$457$1,9352682,616+16.5%
Arkansas$450$2,1341781,489+14.8%
Oregon$441$2,3032411,679+12.4%
Mississippi$440$2,7471671,475+12.4%
New Mexico$429$2,51893608+9.6%
Virginia$420$2,1984143,838+7.2%
Texas$418$3,3161,1878,350+6.6%
Kansas$409$2,1151761,885+4.4%
Tennessee$407$2,3324343,074+3.8%
Georgia$404$3,2604863,248+3.0%
Massachusetts$396$2,8632972,843+1.0%
Wyoming$396$2,98243262+1.0%
Alabama$395$1,9222841,597+0.9%
Washington$394$2,2523432,936+0.4%
New Jersey$393$3,5283402,838+0.2%
Illinois$390$3,5665565,303-0.6%
Florida$384$2,8381,2188,388-2.0%
Connecticut$384$3,261166994-2.1%
Colorado$375$1,8252731,733-4.4%
South Carolina$373$3,0852472,190-4.9%
Minnesota$370$2,2712462,062-5.5%
Arizona$369$3,2783152,858-5.8%
Indiana$369$2,9673762,669-5.9%
Delaware$363$1,54066521-7.2%
Rhode Island$363$2,61948358-7.3%
Oklahoma$363$1,4521871,632-7.3%
Utah$351$1,727132678-10.4%
Pennsylvania$349$2,1376495,423-11.0%
North Carolina$346$2,7475023,828-11.6%
Ohio$341$2,0955903,831-12.9%
Michigan$340$1,6144983,114-13.3%
District of Columbia$339$1,74233408-13.4%
Louisiana$339$2,5802751,460-13.4%
Missouri$320$2,3413362,791-18.2%
Wisconsin$320$5,2283142,323-18.4%
Kentucky$318$1,5862771,940-18.7%
Iowa$318$2,5041571,366-18.8%
Montana$318$1,73956473-18.9%
Hawaii$317$1,52643183-19.1%
Maine$316$1,43168361-19.3%
North Dakota$311$2,88747378-20.6%
South Dakota$310$2,14064561-20.8%
New Hampshire$310$2,29762726-20.9%
Puerto Rico$303$8203682-22.7%
West Virginia$301$1,249115760-23.1%
Idaho$301$1,97394676-23.1%
Vermont$300$4,48827292-23.4%

⚠️ 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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