Cost analysis for CPT 36561 — Insertion of central venous tube with port (5 years or older)
Average Medicare Payment
$307.71
2023 data
Total Payments (2023)
$23.9M
Services (2023)
75.1K
Price Change (2014–2023)
-6.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $328.36 | $28.7M | 84.6K | — |
| 2015 | $327.34 | $28.9M | 85.3K | -0.3% |
| 2016 | $329.42 | $30.2M | 88.8K | +0.6% |
| 2017 | $314.38 | $28.7M | 88.4K | -4.6% |
| 2018 | $315.76 | $30.0M | 92.0K | +0.4% |
| 2019 | $319.23 | $30.8M | 93.0K | +1.1% |
| 2020 | $329.77 | $27.2M | 79.4K | +3.3% |
| 2021 | $325.49 | $26.9M | 79.9K | -1.3% |
| 2022 | $319.36 | $25.0M | 76.5K | -1.9% |
| 2023 | $307.71 | $23.9M | 75.1K | -3.6% |
The most expensive state pays 2.2x more than the cheapest for this procedure. AK averages $509.92 vs ID at $229.80.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $509.92 | $179.5K | 352 | 15 |
| NV | $476.60 | $180.6K | 379 | 23 |
| NE | $422.49 | $420.8K | 996 | 45 |
| AR | $402.71 | $400.7K | 995 | 41 |
| NM | $394.43 | $133.3K | 338 | 19 |
| OR | $385.91 | $389.4K | 1.0K | 48 |
| MS | $378.92 | $392.2K | 1.0K | 47 |
| AL | $377.90 | $268.3K | 710 | 42 |
| CA | $372.07 | $2.3M | 6.2K | 262 |
| NY | $365.24 | $1.2M | 3.4K | 149 |
| TN | $362.74 | $633.3K | 1.7K | 82 |
| MD | $359.86 | $716.8K | 2.0K | 83 |
| TX | $350.42 | $1.8M | 5.1K | 230 |
| KS | $346.23 | $482.3K | 1.4K | 55 |
| VA | $337.99 | $912.2K | 2.7K | 110 |
| GA | $322.47 | $610.8K | 1.9K | 91 |
| IL | $317.94 | $1.3M | 3.9K | 186 |
| MA | $311.52 | $645.5K | 2.1K | 82 |
| WA | $311.38 | $641.1K | 2.1K | 100 |
| MN | $310.08 | $453.3K | 1.5K | 73 |
| SC | $307.11 | $477.6K | 1.6K | 73 |
| RI | $306.03 | $68.6K | 224 | 13 |
| FL | $303.87 | $1.6M | 5.3K | 247 |
| NJ | $301.52 | $571.7K | 1.9K | 76 |
| OK | $295.85 | $334.6K | 1.1K | 51 |
| AZ | $293.17 | $601.9K | 2.1K | 86 |
| WY | $292.99 | $39.8K | 136 | 9 |
| IN | $291.01 | $461.2K | 1.6K | 78 |
| CT | $290.34 | $138.2K | 476 | 27 |
| OH | $281.99 | $619.3K | 2.2K | 109 |
| CO | $279.86 | $266.7K | 953 | 51 |
| PA | $279.34 | $1.0M | 3.7K | 174 |
| UT | $274.91 | $83.3K | 303 | 17 |
| DE | $274.89 | $89.1K | 324 | 15 |
| NC | $274.01 | $663.4K | 2.4K | 125 |
| MI | $272.78 | $492.1K | 1.8K | 93 |
| DC | $270.33 | $82.5K | 305 | 14 |
| LA | $266.35 | $180.1K | 676 | 37 |
| IA | $258.67 | $243.2K | 940 | 37 |
| KY | $256.39 | $278.2K | 1.1K | 56 |
| MT | $254.98 | $85.4K | 335 | 16 |
| WI | $254.53 | $375.4K | 1.5K | 84 |
| MO | $251.26 | $470.9K | 1.9K | 84 |
| WV | $247.96 | $110.8K | 447 | 23 |
| ND | $247.42 | $68.5K | 277 | 12 |
| NH | $245.94 | $144.6K | 588 | 26 |
| SD | $242.90 | $95.2K | 392 | 15 |
| VT | $236.74 | $54.7K | 231 | 10 |
| ME | $236.13 | $36.1K | 153 | 9 |
| ID | $229.80 | $112.1K | 488 | 22 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Texas Center For Interventional Surgery, Llc | Ambulatory Surgical Center | TX | $174.6K | 158 | $1105.11 |
| Richard Swift | Physician Assistant | TN | $120.4K | 204 | $590.33 |
| Michael Drabkin | Diagnostic Radiology | NY | $107.0K | 111 | $963.71 |
| Central Arkansas Radiation Therapy Institute Inc | Ambulatory Surgical Center | AR | $105.6K | 101 | $1045.84 |
| Ambulatory Surgery Center Llc | Ambulatory Surgical Center | KS | $94.2K | 91 | $1034.63 |
| Surgicare Of Jackson Ltd | Ambulatory Surgical Center | MS | $90.2K | 89 | $1013.85 |
| Premier-Covenant Astc Llc | Ambulatory Surgical Center | TN | $90.0K | 94 | $957.20 |
| Methodist Medical Center Asc Lp | Ambulatory Surgical Center | TX | $83.8K | 82 | $1022.10 |
| Alaska Native Tribal Health Consortium | Ambulatory Surgical Center | AK | $78.9K | 49 | $1609.86 |
| Outpatient Surgical Specialties Center, Llc | Ambulatory Surgical Center | NE | $73.0K | 66 | $1106.09 |
| Aspen Surgery Center, Llc | Ambulatory Surgical Center | CA | $72.3K | 45 | $1605.93 |
| Navid Moradshahi | Interventional Radiology | CA | $66.4K | 72 | $921.80 |
| Coastal Surgical Specialists, Inc. | Ambulatory Surgical Center | CA | $61.9K | 47 | $1316.03 |
| Varicose Vein Solutions, Medical Corporation | Ambulatory Surgical Center | CA | $61.8K | 47 | $1314.04 |
| Mark Borowicz | General Surgery | SC | $59.3K | 81 | $731.71 |
| Riverbend Ambulatory Surgery Center Llc | Ambulatory Surgical Center | OR | $57.7K | 49 | $1177.04 |
| University Of Minnesota Health Clinics And Surgery Center, Inc. | Ambulatory Surgical Center | MN | $57.5K | 49 | $1174.27 |
| Ku Medwest Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | KS | $56.8K | 53 | $1072.40 |
| Methodist Ambulatory Surgery Center Of Landmark, Llc | Ambulatory Surgical Center | TX | $56.4K | 54 | $1043.98 |
| Toledo Clinic Incorporated | Ambulatory Surgical Center | OH | $54.6K | 52 | $1049.13 |
The data suggests significant pricing inconsistencies for CPT 36561. With a 2.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 6.3% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.