36591

Collection of blood sample from implanted device

Medicare pricing data for 2,921 providers across 46 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

Collection of blood sample from implanted device (HCPCS code 36591) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.81, but hospitals typically charge $94.58 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.36

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $26.81, your out-of-pocket cost would be approximately $5.36. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$26.81
Average Hospital Charge
$94.58
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$94.58
Medicare Allowed$26.81
Medicare Payment$20.26

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $20.26 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$32$62932+20.8%
California$32$983278,949+19.4%
Connecticut$31$10212131+14.5%
New Jersey$30$9420142+13.1%
Maryland$29$71721,793+8.6%
Alaska$29$14411181+7.8%
Massachusetts$29$6718299+6.7%
Colorado$28$68521,080+4.1%
Oregon$27$8355430+1.6%
Washington$27$141921,284+1.6%
Delaware$27$7716341+1.3%
Wyoming$27$561680+1.0%
Minnesota$27$1201441,332+0.9%
Nevada$27$6642944+0.7%
North Dakota$27$10741286-0.3%
New York$27$661481,029-0.5%
South Dakota$27$8121156-0.8%
Virginia$27$621231,175-0.9%
Maine$26$9414360-1.3%
New Hampshire$26$9211253-1.6%
North Carolina$26$7649382-2.6%
South Carolina$26$8926205-3.1%
Texas$26$65117847-3.4%
Illinois$26$1022403,969-3.6%
Arizona$26$991378,009-3.9%
Florida$26$1082038,648-4.5%
Missouri$25$1391582,337-4.9%
Michigan$25$6146767-5.3%
Pennsylvania$25$7334322-5.5%
Wisconsin$25$185114758-5.5%
Utah$25$6110180-8.3%
Iowa$25$8327546-8.6%
Ohio$24$55871,117-9.0%
Nebraska$24$5139405-9.4%
Indiana$24$71531,412-9.6%
New Mexico$24$4628535-9.6%
Kansas$24$5337431-10.3%
Kentucky$24$5323133-10.5%
Idaho$24$761084-10.6%
Louisiana$24$12217270-11.1%
Georgia$24$11123176-11.2%
Tennessee$24$84691,697-11.3%
Oklahoma$23$5625856-12.5%
Alabama$23$5641393-12.6%
Arkansas$23$5133137-14.5%
Mississippi$20$5414229-25.0%

⚠️ 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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