Removal of plaque in artery of leg, initial vessel
Medicare pricing data for 3,503 providers across 46 states
Prices vary significantly by location — from $543 in Puerto Rico to $9,667 in District of Columbia. 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 artery of leg, initial vessel (HCPCS code 37229) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7,073, but hospitals typically charge $22,212 — a 3.1x 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 $7,073, your out-of-pocket cost would be approximately $1,415. 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 3.1x more than what Medicare allows for this procedure. Medicare actually pays $5,640 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $9,667 | $20,424 | 11 | 181 | +36.7% |
| Alaska | $9,235 | $59,926 | 3 | 17 | +30.6% |
| Maryland | $9,031 | $20,437 | 74 | 2,002 | +27.7% |
| New York | $8,441 | $25,785 | 192 | 3,406 | +19.3% |
| California | $8,240 | $23,173 | 340 | 7,697 | +16.5% |
| New Jersey | $8,033 | $25,537 | 141 | 2,043 | +13.6% |
| Virginia | $7,556 | $24,020 | 86 | 524 | +6.8% |
| Arizona | $7,504 | $21,368 | 134 | 1,611 | +6.1% |
| Utah | $7,388 | $24,850 | 10 | 200 | +4.4% |
| Connecticut | $7,303 | $33,782 | 31 | 243 | +3.3% |
| Michigan | $7,263 | $20,311 | 116 | 1,258 | +2.7% |
| Florida | $7,230 | $21,883 | 424 | 4,819 | +2.2% |
| Massachusetts | $7,071 | $31,324 | 35 | 306 | -0.0% |
| Hawaii | $6,693 | $23,162 | 10 | 82 | -5.4% |
| Wisconsin | $6,673 | $23,022 | 25 | 164 | -5.7% |
| Colorado | $6,629 | $25,691 | 34 | 156 | -6.3% |
| Nevada | $6,345 | $17,464 | 25 | 213 | -10.3% |
| Texas | $6,287 | $22,455 | 467 | 4,168 | -11.1% |
| Minnesota | $6,195 | $28,242 | 18 | 78 | -12.4% |
| Tennessee | $6,004 | $19,610 | 100 | 930 | -15.1% |
| Ohio | $5,959 | $15,677 | 61 | 410 | -15.7% |
| Kentucky | $5,927 | $20,195 | 26 | 166 | -16.2% |
| Washington | $5,897 | $20,561 | 32 | 141 | -16.6% |
| Delaware | $5,833 | $23,954 | 11 | 62 | -17.5% |
| Mississippi | $5,633 | $28,433 | 55 | 677 | -20.4% |
| Pennsylvania | $5,592 | $17,539 | 62 | 463 | -20.9% |
| South Dakota | $5,458 | $22,415 | 22 | 224 | -22.8% |
| North Carolina | $5,447 | $19,288 | 82 | 623 | -23.0% |
| Georgia | $5,381 | $26,009 | 107 | 564 | -23.9% |
| South Carolina | $5,375 | $20,027 | 47 | 288 | -24.0% |
| Louisiana | $5,300 | $20,809 | 106 | 571 | -25.1% |
| Oregon | $5,196 | $19,215 | 26 | 81 | -26.5% |
| Alabama | $5,178 | $13,957 | 73 | 428 | -26.8% |
| Arkansas | $4,966 | $13,958 | 50 | 596 | -29.8% |
| Kansas | $4,907 | $17,277 | 29 | 337 | -30.6% |
| Iowa | $4,431 | $23,261 | 25 | 99 | -37.4% |
| Idaho | $4,271 | $15,540 | 13 | 50 | -39.6% |
| Oklahoma | $4,219 | $23,341 | 50 | 557 | -40.3% |
| Illinois | $4,219 | $17,477 | 131 | 773 | -40.4% |
| Nebraska | $4,198 | $19,189 | 21 | 198 | -40.7% |
| Missouri | $4,047 | $16,453 | 58 | 272 | -42.8% |
| Indiana | $3,930 | $16,625 | 70 | 384 | -44.4% |
| West Virginia | $3,375 | $13,502 | 13 | 37 | -52.3% |
| New Mexico | $1,926 | $11,529 | 13 | 160 | -72.8% |
| Montana | $615 | $4,231 | 11 | 28 | -91.3% |
| Puerto Rico | $543 | $684 | 2 | 13 | -92.3% |
⚠️ 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