Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel
Medicare pricing data for 6,431 providers across 51 states
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 and blood clot, insertion of stent and/or balloon dilation of single vessel (HCPCS code 92941) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $634.48, but hospitals typically charge $2,271 — a 3.6x 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 $634.48, your out-of-pocket cost would be approximately $126.90. 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 3.6x more than what Medicare allows for this procedure. Medicare actually pays $501.51 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $811 | $5,279 | 11 | 99 | +27.9% |
| New York | $721 | $2,660 | 301 | 1,300 | +13.6% |
| District of Columbia | $699 | $3,065 | 14 | 58 | +10.2% |
| Illinois | $682 | $3,051 | 275 | 1,088 | +7.4% |
| New Jersey | $679 | $2,754 | 162 | 763 | +7.1% |
| Florida | $679 | $1,881 | 466 | 1,809 | +7.0% |
| Maryland | $677 | $1,932 | 80 | 538 | +6.7% |
| Connecticut | $669 | $2,812 | 70 | 289 | +5.4% |
| Michigan | $655 | $1,555 | 213 | 704 | +3.2% |
| Massachusetts | $654 | $2,346 | 124 | 722 | +3.1% |
| California | $651 | $2,301 | 556 | 2,686 | +2.6% |
| West Virginia | $648 | $1,877 | 43 | 168 | +2.2% |
| Rhode Island | $648 | $1,758 | 18 | 91 | +2.1% |
| Delaware | $648 | $1,544 | 24 | 117 | +2.1% |
| Nevada | $643 | $2,022 | 63 | 401 | +1.4% |
| New Mexico | $641 | $2,199 | 30 | 228 | +1.0% |
| Pennsylvania | $640 | $2,137 | 294 | 1,318 | +0.8% |
| Montana | $639 | $1,927 | 26 | 162 | +0.8% |
| Virginia | $638 | $1,725 | 159 | 720 | +0.5% |
| Louisiana | $637 | $1,917 | 131 | 424 | +0.3% |
| Colorado | $636 | $1,795 | 94 | 465 | +0.2% |
| New Hampshire | $630 | $6,069 | 30 | 218 | -0.6% |
| Washington | $629 | $1,768 | 134 | 704 | -0.9% |
| Arizona | $625 | $1,650 | 174 | 579 | -1.6% |
| Georgia | $624 | $2,305 | 190 | 679 | -1.6% |
| Texas | $622 | $2,124 | 542 | 1,942 | -2.0% |
| Missouri | $618 | $2,104 | 166 | 714 | -2.5% |
| Oregon | $617 | $1,924 | 62 | 298 | -2.7% |
| Ohio | $615 | $1,747 | 273 | 1,102 | -3.1% |
| Hawaii | $613 | $1,928 | 13 | 39 | -3.3% |
| Oklahoma | $613 | $1,937 | 108 | 468 | -3.4% |
| Wyoming | $611 | $5,468 | 8 | 37 | -3.7% |
| Utah | $609 | $1,785 | 45 | 287 | -4.1% |
| Kentucky | $606 | $1,606 | 110 | 625 | -4.5% |
| North Carolina | $605 | $2,283 | 174 | 872 | -4.6% |
| Alabama | $604 | $1,929 | 114 | 361 | -4.8% |
| North Dakota | $600 | $3,690 | 19 | 112 | -5.4% |
| South Carolina | $599 | $2,619 | 127 | 610 | -5.6% |
| Maine | $597 | $1,952 | 19 | 81 | -5.9% |
| Mississippi | $595 | $2,377 | 67 | 307 | -6.3% |
| South Dakota | $589 | $1,625 | 18 | 133 | -7.1% |
| Kansas | $584 | $2,202 | 62 | 302 | -7.9% |
| Vermont | $584 | $2,872 | 9 | 55 | -8.0% |
| Minnesota | $581 | $3,060 | 102 | 399 | -8.4% |
| Wisconsin | $580 | $6,989 | 120 | 502 | -8.6% |
| Tennessee | $578 | $1,825 | 187 | 746 | -8.9% |
| Idaho | $578 | $1,589 | 29 | 207 | -9.0% |
| Nebraska | $573 | $1,901 | 39 | 159 | -9.7% |
| Arkansas | $573 | $1,377 | 103 | 398 | -9.8% |
| Indiana | $572 | $2,266 | 170 | 772 | -9.8% |
| Iowa | $572 | $2,028 | 60 | 360 | -9.8% |
⚠️ 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