Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
Medicare pricing data for 6,771 providers across 52 states
Prices vary significantly by location — from $214 in Idaho to $1,256 in New Jersey. 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 needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS code 36902) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $992.26, but hospitals typically charge $3,422 — a 3.4x 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 $992.26, your out-of-pocket cost would be approximately $198.45. 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 3.4x more than what Medicare allows for this procedure. Medicare actually pays $785.70 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $1,256 | $4,105 | 221 | 7,396 | +26.6% |
| Rhode Island | $1,231 | $4,285 | 12 | 901 | +24.1% |
| Nevada | $1,178 | $4,029 | 39 | 3,111 | +18.7% |
| Connecticut | $1,176 | $4,180 | 82 | 1,332 | +18.5% |
| California | $1,160 | $4,087 | 789 | 14,818 | +16.9% |
| New York | $1,151 | $3,619 | 450 | 11,315 | +16.0% |
| Arizona | $1,140 | $4,180 | 99 | 4,247 | +14.8% |
| Delaware | $1,139 | $1,852 | 27 | 526 | +14.8% |
| Maryland | $1,096 | $2,970 | 131 | 3,598 | +10.4% |
| Illinois | $1,063 | $3,593 | 295 | 8,109 | +7.1% |
| Kansas | $1,062 | $2,950 | 38 | 1,428 | +7.0% |
| Alabama | $1,057 | $3,280 | 94 | 1,926 | +6.6% |
| Oregon | $1,043 | $2,686 | 85 | 950 | +5.1% |
| Virginia | $1,041 | $3,315 | 180 | 5,174 | +4.9% |
| Texas | $1,028 | $3,707 | 490 | 12,583 | +3.6% |
| Florida | $1,022 | $3,319 | 521 | 9,250 | +3.0% |
| Ohio | $997 | $3,474 | 222 | 4,044 | +0.5% |
| Georgia | $968 | $3,941 | 235 | 5,955 | -2.5% |
| Michigan | $931 | $2,598 | 220 | 4,550 | -6.2% |
| Puerto Rico | $914 | $2,222 | 20 | 245 | -7.9% |
| Indiana | $911 | $3,022 | 143 | 3,365 | -8.2% |
| Pennsylvania | $901 | $3,210 | 321 | 5,179 | -9.2% |
| North Carolina | $897 | $3,178 | 201 | 4,276 | -9.6% |
| Mississippi | $854 | $3,654 | 65 | 1,783 | -14.0% |
| New Mexico | $809 | $3,267 | 43 | 540 | -18.5% |
| Tennessee | $804 | $2,848 | 145 | 2,178 | -18.9% |
| Utah | $798 | $2,838 | 44 | 525 | -19.6% |
| Arkansas | $755 | $1,969 | 57 | 1,009 | -23.9% |
| Minnesota | $755 | $3,348 | 114 | 1,346 | -23.9% |
| South Carolina | $711 | $2,517 | 104 | 2,249 | -28.3% |
| Washington | $700 | $2,201 | 137 | 1,432 | -29.4% |
| Wisconsin | $697 | $4,556 | 134 | 1,821 | -29.7% |
| Louisiana | $686 | $2,768 | 77 | 1,540 | -30.8% |
| Alaska | $668 | $6,722 | 18 | 362 | -32.7% |
| Hawaii | $590 | $1,541 | 29 | 314 | -40.6% |
| Colorado | $588 | $2,304 | 123 | 924 | -40.7% |
| Missouri | $559 | $2,371 | 144 | 2,002 | -43.7% |
| Nebraska | $531 | $3,181 | 36 | 299 | -46.5% |
| Massachusetts | $514 | $1,934 | 139 | 1,549 | -48.2% |
| South Dakota | $477 | $1,556 | 26 | 351 | -51.9% |
| District of Columbia | $464 | $1,703 | 19 | 340 | -53.2% |
| Iowa | $441 | $2,307 | 56 | 370 | -55.6% |
| Wyoming | $438 | $1,912 | 8 | 64 | -55.9% |
| Kentucky | $420 | $1,696 | 82 | 1,003 | -57.7% |
| Oklahoma | $324 | $1,185 | 59 | 968 | -67.3% |
| New Hampshire | $231 | $1,983 | 34 | 273 | -76.7% |
| Montana | $227 | $1,482 | 26 | 104 | -77.1% |
| West Virginia | $224 | $966 | 24 | 176 | -77.4% |
| Maine | $224 | $730 | 29 | 223 | -77.4% |
| Vermont | $224 | $5,055 | 10 | 40 | -77.5% |
| North Dakota | $222 | $1,449 | 21 | 285 | -77.7% |
| Idaho | $214 | $1,081 | 31 | 252 | -78.5% |
⚠️ 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