Cost analysis for CPT 36903 — Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist
Average Medicare Payment
$2724.11
2023 data
Total Payments (2023)
$26.9M
Services (2023)
8.8K
Price Change (2017–2023)
-12.8%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2017 | $3124.61 | $45.4M | 12.6K | — |
| 2018 | $3028.97 | $46.7M | 13.8K | -3.1% |
| 2019 | $2906.75 | $51.3M | 16.1K | -4.0% |
| 2020 | $3003.48 | $48.6M | 15.1K | +3.3% |
| 2021 | $2976.71 | $35.2M | 10.9K | -0.9% |
| 2022 | $2771.44 | $28.2M | 9.3K | -6.9% |
| 2023 | $2724.11 | $26.9M | 8.8K | -1.7% |
The most expensive state pays 2.7x more than the cheapest for this procedure. NY averages $3767.26 vs MI at $1404.23.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NY | $3767.26 | $3.0M | 794 | 22 |
| NV | $3670.64 | $491.9K | 134 | 4 |
| CA | $3595.43 | $4.3M | 1.2K | 33 |
| GA | $3420.77 | $598.6K | 175 | 11 |
| NJ | $3379.44 | $3.2M | 935 | 16 |
| IN | $3109.97 | $395.0K | 127 | 4 |
| NC | $3069.94 | $1.6M | 529 | 14 |
| MD | $2987.44 | $663.2K | 222 | 9 |
| AZ | $2972.48 | $1.3M | 428 | 12 |
| VA | $2970.26 | $828.7K | 279 | 12 |
| IL | $2825.16 | $1.4M | 505 | 14 |
| OH | $2771.00 | $496.0K | 179 | 11 |
| TX | $2752.88 | $2.2M | 795 | 34 |
| FL | $2733.06 | $1.3M | 459 | 17 |
| WI | $2731.50 | $609.1K | 223 | 6 |
| PA | $2717.09 | $1.0M | 369 | 10 |
| KS | $2706.11 | $481.7K | 178 | 6 |
| LA | $2146.33 | $446.4K | 208 | 5 |
| MI | $1404.23 | $192.4K | 137 | 6 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| American Access Care Of New Jersey, Llc | Ambulatory Surgical Center | NJ | $1.0M | 183 | $5467.32 |
| Chicago Vascular Asc Llc | Ambulatory Surgical Center | IL | $890.6K | 164 | $5430.37 |
| Gustavo Torres-Cifuentes | Vascular Surgery | CA | $706.0K | 176 | $4011.61 |
| Rac Surgery Center Llc | Ambulatory Surgical Center | NC | $510.3K | 98 | $5206.83 |
| Fresno Ambulatory Surgery Center, Inc. | Ambulatory Surgical Center | CA | $471.1K | 83 | $5675.86 |
| Norbert Shtaynberg | Nephrology | NY | $450.2K | 108 | $4168.92 |
| Sjv Management, Llc | Ambulatory Surgical Center | NJ | $450.1K | 82 | $5488.65 |
| Paul Svigals | Diagnostic Radiology | NJ | $432.9K | 143 | $3027.45 |
| Renal Focus Asc Llc | Ambulatory Surgical Center | NY | $431.3K | 71 | $6073.99 |
| Baton Rouge Vascular Access Asc Llc | Ambulatory Surgical Center | LA | $417.5K | 88 | $4743.81 |
| Karl Weingarten | Interventional Radiology | CA | $413.7K | 114 | $3629.26 |
| Akdhc Surgery Center, Llc | Ambulatory Surgical Center | AZ | $370.7K | 74 | $5008.84 |
| Ski Ambulatory Surgical Centers, Llc | Ambulatory Surgical Center | AZ | $359.7K | 68 | $5289.46 |
| Adios Estenosis Llc | Ambulatory Surgical Center | NV | $345.2K | 61 | $5659.09 |
| Frank Tarantini | Interventional Radiology | NY | $328.9K | 78 | $4216.67 |
| New Jersey Interventional Associates Llc | Ambulatory Surgical Center | NJ | $328.0K | 59 | $5559.70 |
| Renal Associates, P.A. | Ambulatory Surgical Center | TX | $322.8K | 65 | $4966.05 |
| Russell Harada | Vascular Surgery | HI | $318.7K | 83 | $3839.19 |
| Stephen Liu | Diagnostic Radiology | CA | $307.8K | 84 | $3664.81 |
| Theodore Chambers | Diagnostic Radiology | VA | $302.1K | 72 | $4196.40 |
The data suggests significant pricing inconsistencies for CPT 36903. With a 2.7x 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 12.8% since 2017, 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.