36600

Artery puncture collection of blood sample

Medicare pricing data for 384 providers across 32 states

🤖AI Overview

Prices vary significantly by location — from $12 in New Jersey to $31 in District of Columbia. 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

Artery puncture collection of blood sample (HCPCS code 36600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $27.08, but hospitals typically charge $81.18 — a 3.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$5.42

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $27.08, your out-of-pocket cost would be approximately $5.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$27.08
Average Hospital Charge
$81.18
Markup Ratio
3.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$81.18
Medicare Allowed$27.08
Medicare Payment$20.22

Hospitals charge 3.0x more than what Medicare allows for this procedure. Medicare actually pays $20.22 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$31$761027+15.0%
New York$31$13128151+14.5%
California$30$55411,184+12.1%
Maryland$29$8820437+5.8%
Minnesota$27$1549229+1.5%
Washington$27$922233+0.2%
Missouri$27$131218660.0%
Pennsylvania$27$9810180.0%
Nevada$27$68379-0.0%
Florida$27$78311,215-0.1%
Texas$26$76660-2.7%
Virginia$26$6714185-3.3%
Arizona$26$1169246-3.4%
North Carolina$26$5173,066-4.2%
Wisconsin$26$2342653-4.5%
Indiana$26$89715-5.2%
Georgia$26$8014257-5.4%
South Carolina$25$6091463-7.8%
Tennessee$25$82832-8.0%
Kentucky$25$891432-8.6%
Mississippi$25$14210124-8.9%
Alabama$24$981359-10.2%
Arkansas$24$631237-10.5%
Illinois$15$1422046-45.6%
Louisiana$14$731294-46.8%
Massachusetts$14$8140124-47.0%
West Virginia$14$541320-47.0%
Michigan$14$943441-47.7%
Connecticut$14$1162444-47.8%
Oklahoma$14$952841-49.0%
Ohio$13$694396-51.4%
New Jersey$12$821015-54.0%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber