Removal of plaque in arteries of leg
Medicare pricing data for 4,895 providers across 51 states
Prices vary significantly by location — from $468 in Puerto Rico to $7,957 in Rhode Island. 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
Removal of plaque in arteries of leg (HCPCS code 37225) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $4,732, but hospitals typically charge $20,403 — a 4.3x 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 $4,732, your out-of-pocket cost would be approximately $946.30. 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 4.3x more than what Medicare allows for this procedure. Medicare actually pays $3,773 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Rhode Island | $7,957 | $44,015 | 2 | 13 | +68.2% |
| Connecticut | $6,517 | $34,523 | 36 | 298 | +37.7% |
| Maryland | $6,494 | $20,327 | 85 | 1,876 | +37.3% |
| District of Columbia | $6,332 | $17,227 | 10 | 173 | +33.8% |
| Massachusetts | $5,898 | $30,919 | 53 | 432 | +24.7% |
| Alaska | $5,828 | $51,790 | 11 | 48 | +23.2% |
| New Jersey | $5,698 | $24,986 | 175 | 1,468 | +20.4% |
| Washington | $5,528 | $20,733 | 40 | 203 | +16.8% |
| Virginia | $5,522 | $22,433 | 127 | 750 | +16.7% |
| California | $5,358 | $22,943 | 427 | 6,679 | +13.2% |
| Florida | $5,282 | $19,457 | 571 | 4,886 | +11.6% |
| Michigan | $5,257 | $18,528 | 182 | 1,482 | +11.1% |
| New York | $5,194 | $26,156 | 241 | 2,553 | +9.8% |
| Arizona | $5,159 | $20,387 | 177 | 1,530 | +9.0% |
| Tennessee | $4,907 | $20,018 | 149 | 1,071 | +3.7% |
| Oregon | $4,818 | $17,638 | 38 | 128 | +1.8% |
| Utah | $4,801 | $19,484 | 13 | 102 | +1.5% |
| South Dakota | $4,789 | $19,786 | 22 | 255 | +1.2% |
| Texas | $4,465 | $22,315 | 592 | 3,995 | -5.6% |
| Georgia | $4,373 | $24,730 | 146 | 618 | -7.6% |
| Kentucky | $4,346 | $15,436 | 47 | 247 | -8.2% |
| Hawaii | $4,295 | $20,920 | 10 | 54 | -9.2% |
| South Carolina | $4,276 | $18,609 | 81 | 392 | -9.6% |
| Colorado | $4,270 | $24,854 | 43 | 195 | -9.7% |
| Nevada | $4,240 | $14,556 | 40 | 244 | -10.4% |
| North Carolina | $4,093 | $16,884 | 136 | 1,085 | -13.5% |
| Louisiana | $3,963 | $21,341 | 149 | 859 | -16.2% |
| Delaware | $3,864 | $19,778 | 22 | 67 | -18.3% |
| Alabama | $3,790 | $11,855 | 94 | 603 | -19.9% |
| Kansas | $3,648 | $13,948 | 48 | 299 | -22.9% |
| Mississippi | $3,639 | $19,507 | 85 | 936 | -23.1% |
| Pennsylvania | $3,543 | $13,117 | 114 | 523 | -25.1% |
| Iowa | $3,268 | $20,786 | 46 | 242 | -30.9% |
| New Hampshire | $3,071 | $22,085 | 15 | 39 | -35.1% |
| Wisconsin | $2,922 | $16,394 | 54 | 165 | -38.2% |
| Illinois | $2,797 | $15,753 | 202 | 1,228 | -40.9% |
| Minnesota | $2,768 | $18,066 | 43 | 119 | -41.5% |
| Ohio | $2,757 | $10,342 | 103 | 484 | -41.7% |
| Missouri | $2,665 | $13,142 | 74 | 353 | -43.7% |
| Arkansas | $2,588 | $9,724 | 75 | 754 | -45.3% |
| Nebraska | $2,500 | $16,670 | 25 | 196 | -47.2% |
| Idaho | $2,260 | $13,345 | 18 | 80 | -52.2% |
| Indiana | $2,090 | $12,576 | 106 | 560 | -55.8% |
| Oklahoma | $1,908 | $15,781 | 77 | 453 | -59.7% |
| West Virginia | $1,847 | $9,113 | 19 | 57 | -61.0% |
| New Mexico | $1,239 | $13,183 | 14 | 135 | -73.8% |
| North Dakota | $528 | $8,883 | 10 | 33 | -88.8% |
| Maine | $516 | $1,569 | 7 | 17 | -89.1% |
| Montana | $508 | $1,803 | 19 | 46 | -89.3% |
| Wyoming | $490 | $3,675 | 5 | 14 | -89.6% |
| Puerto Rico | $468 | $596 | 8 | 13 | -90.1% |
⚠️ 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