Cost analysis for CPT 37227 — Removal of plaque and insertion of stents in arteries of leg
Average Medicare Payment
$7644.28
2023 data
Total Payments (2023)
$88.6M
Services (2023)
11.0K
Price Change (2014–2023)
+8.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $7051.60 | $77.0M | 9.1K | — |
| 2015 | $7546.62 | $90.2M | 10.1K | +7.0% |
| 2016 | $8251.79 | $101.9M | 10.9K | +9.3% |
| 2017 | $8409.28 | $114.4M | 12.2K | +1.9% |
| 2018 | $8969.39 | $123.2M | 12.6K | +6.7% |
| 2019 | $9987.43 | $147.8M | 13.6K | +11.4% |
| 2020 | $9728.76 | $134.4M | 12.7K | -2.6% |
| 2021 | $9334.13 | $119.9M | 12.3K | -4.1% |
| 2022 | $8388.60 | $101.9M | 11.7K | -10.1% |
| 2023 | $7644.28 | $88.6M | 11.0K | -8.9% |
The most expensive state pays 2.2x more than the cheapest for this procedure. NJ averages $9672.72 vs NE at $4491.34.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $9672.72 | $7.7M | 791 | 18 |
| VA | $9449.49 | $1.1M | 112 | 5 |
| NY | $9387.73 | $9.2M | 981 | 28 |
| MD | $9334.93 | $7.7M | 830 | 26 |
| CA | $8751.74 | $12.7M | 1.5K | 49 |
| TX | $8222.70 | $7.0M | 848 | 35 |
| MI | $8212.81 | $1.9M | 233 | 10 |
| MA | $7864.69 | $1.2M | 157 | 8 |
| FL | $7769.80 | $13.8M | 1.8K | 54 |
| TN | $7575.10 | $4.2M | 553 | 15 |
| SD | $7298.20 | $1.6M | 222 | 6 |
| AL | $7101.44 | $1.1M | 154 | 8 |
| PA | $7014.57 | $2.2M | 316 | 10 |
| IL | $6950.41 | $2.6M | 381 | 7 |
| KS | $6773.13 | $1.9M | 285 | 8 |
| MS | $6607.61 | $1.0M | 154 | 4 |
| GA | $6543.24 | $1.2M | 180 | 9 |
| AZ | $6449.49 | $1.5M | 238 | 7 |
| NC | $6366.79 | $681.2K | 107 | 5 |
| OK | $5295.99 | $969.2K | 183 | 6 |
| NE | $4491.34 | $530.0K | 118 | 4 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Samer Saiedy | Vascular Surgery | MD | $1.6M | 178 | $9208.58 |
| Paramjit Chopra | Interventional Radiology | IL | $1.5M | 215 | $6804.70 |
| David O'connor | Vascular Surgery | NJ | $1.4M | 169 | $8180.89 |
| Hardeep Ahluwalia | Vascular Surgery | CA | $1.3M | 114 | $11083.44 |
| Pablo Guala | Peripheral Vascular Disease | FL | $1.2M | 156 | $8012.08 |
| Dennis Kwon | Interventional Radiology | NJ | $1.2M | 122 | $9862.38 |
| Joseph Degregorio | Cardiology | NJ | $1.1M | 108 | $9957.29 |
| Prateek Gupta | Vascular Surgery | TN | $1.1M | 147 | $7314.27 |
| Karthik Gujja | Cardiology | NY | $988.4K | 91 | $10861.33 |
| Steven Hutchinson | Vascular Surgery | KS | $983.9K | 149 | $6603.47 |
| Lawrence Goldstein | Vascular Surgery | CA | $971.4K | 85 | $11428.20 |
| Chad Laurich | Vascular Surgery | SD | $894.6K | 101 | $8857.69 |
| Rajiv Nagesetty | Vascular Surgery | CA | $854.0K | 70 | $12199.87 |
| Manuel Gonzalez | Peripheral Vascular Disease | FL | $845.3K | 97 | $8714.24 |
| Amir Salem | Diagnostic Radiology | NY | $771.5K | 79 | $9765.65 |
| Amit Shah | Vascular Surgery | NY | $741.1K | 72 | $10293.04 |
| Mark Zuzga | Vascular Surgery | FL | $735.5K | 87 | $8454.17 |
| Lev Pukin | Interventional Radiology | NY | $729.5K | 70 | $10421.92 |
| Anton Dias Perera | Vascular Surgery | TN | $710.6K | 94 | $7559.08 |
| Aalok Patel | Interventional Cardiology | FL | $689.9K | 86 | $8021.67 |
The data suggests significant pricing inconsistencies for CPT 37227. 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.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
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.