36902

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

🤖AI Overview

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

$198.45

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.

Average Allowed Cost
$992.26
Average Hospital Charge
$3,422
Markup Ratio
3.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,421.64
Medicare Allowed$992.26
Medicare Payment$785.70

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$1,256$4,1052217,396+26.6%
Rhode Island$1,231$4,28512901+24.1%
Nevada$1,178$4,029393,111+18.7%
Connecticut$1,176$4,180821,332+18.5%
California$1,160$4,08778914,818+16.9%
New York$1,151$3,61945011,315+16.0%
Arizona$1,140$4,180994,247+14.8%
Delaware$1,139$1,85227526+14.8%
Maryland$1,096$2,9701313,598+10.4%
Illinois$1,063$3,5932958,109+7.1%
Kansas$1,062$2,950381,428+7.0%
Alabama$1,057$3,280941,926+6.6%
Oregon$1,043$2,68685950+5.1%
Virginia$1,041$3,3151805,174+4.9%
Texas$1,028$3,70749012,583+3.6%
Florida$1,022$3,3195219,250+3.0%
Ohio$997$3,4742224,044+0.5%
Georgia$968$3,9412355,955-2.5%
Michigan$931$2,5982204,550-6.2%
Puerto Rico$914$2,22220245-7.9%
Indiana$911$3,0221433,365-8.2%
Pennsylvania$901$3,2103215,179-9.2%
North Carolina$897$3,1782014,276-9.6%
Mississippi$854$3,654651,783-14.0%
New Mexico$809$3,26743540-18.5%
Tennessee$804$2,8481452,178-18.9%
Utah$798$2,83844525-19.6%
Arkansas$755$1,969571,009-23.9%
Minnesota$755$3,3481141,346-23.9%
South Carolina$711$2,5171042,249-28.3%
Washington$700$2,2011371,432-29.4%
Wisconsin$697$4,5561341,821-29.7%
Louisiana$686$2,768771,540-30.8%
Alaska$668$6,72218362-32.7%
Hawaii$590$1,54129314-40.6%
Colorado$588$2,304123924-40.7%
Missouri$559$2,3711442,002-43.7%
Nebraska$531$3,18136299-46.5%
Massachusetts$514$1,9341391,549-48.2%
South Dakota$477$1,55626351-51.9%
District of Columbia$464$1,70319340-53.2%
Iowa$441$2,30756370-55.6%
Wyoming$438$1,912864-55.9%
Kentucky$420$1,696821,003-57.7%
Oklahoma$324$1,18559968-67.3%
New Hampshire$231$1,98334273-76.7%
Montana$227$1,48226104-77.1%
West Virginia$224$96624176-77.4%
Maine$224$73029223-77.4%
Vermont$224$5,0551040-77.5%
North Dakota$222$1,44921285-77.7%
Idaho$214$1,08131252-78.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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