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Procedure price report · Embolectomy and endarterectomy of lower limbs

Open removal of a clot from a leg or pelvic vein

CPT 34421the billing code this page is about

Surgery through an incision in the leg to remove a clot from the vena cava, iliac vein, or femoral and popliteal veins.

Hospitals typically charge $3,786 cash for this outpatient procedure — the median across 350 hospitals that filed a usable cash price; the average of the middle 60% is $3,887. Most fall between $1,417 and $7,246 (20th–80th percentile).

Hospitals
350
States
43
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 350 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,120$1,814$3,786$5,741$7,946

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($1,120 vs $7,946).

How the prices are spread

$666 – $886: 15 hospitals$666$886 – $1,179: 15 hospitals$1,179 – $1,570: 33 hospitals$1,179$1,570 – $2,089: 29 hospitals$2,089 – $2,780: 17 hospitals$2,089$2,780 – $3,699: 29 hospitals$3,699 – $4,923: 79 hospitals$3,699$4,923 – $6,551: 40 hospitals$6,551 – $8,718: 48 hospitals$6,551$8,718 – $11,601: 13 hospitals$8,718median $3,786price bands are equal on a log scale
Hospitals per price band (318 of 350 — the bands cover the 5th to 95th percentile)
FromToHospitals
$666$88615
$886$1,17915
$1,179$1,57033
$1,570$2,08929
$2,089$2,78017
$2,780$3,69929
$3,699$4,92379
$4,923$6,55140
$6,551$8,71848
$8,718$11,60113

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,226
Median cash price$3,786
Cash as a multiple of Medicare1.17×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $3,786.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,369 across 13 hospitalsIL$1,369Wisconsin: 5 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: 8 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $3,725 across 27 hospitalsNY$3,725Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,814 across 16 hospitalsIA$1,814Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $3,773 across 17 hospitalsOH$3,773Pennsylvania: median $1,821 across 19 hospitalsPA$1,821New Jersey: median $4,085 across 23 hospitalsNJ$4,085Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $7,946 across 45 hospitalsCA$7,946Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $12,242 across 12 hospitalsAZ$12,242New Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,161 across 13 hospitalsOK$1,161Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,895 across 37 hospitalsTX$3,895Florida: median $4,868 across 14 hospitalsFL$4,868
Cash price by state, most expensive first. National median $3,786. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ12$12,242+223%$2,580 – $12,242
California CA45$7,946+110%$5,268 – $7,946
Florida FL14$4,868+29%$3,476 – $14,661
New Jersey NJ23$4,085+8%$3,484 – $5,741
Texas TX37$3,895+3%$3,875 – $4,625
Ohio OH17$3,7730%$1,985 – $3,773
New York NY27$3,725−2%$3,226 – $4,265
Pennsylvania PA19$1,821−52%$423 – $5,321
Iowa IA16$1,814−52%$1,659 – $1,814
Illinois IL13$1,369−64%$590 – $2,368
Oklahoma OK13$1,161−69%$1,161 – $6,417
Georgia GA8not enough hospitals filed a usable price
Michigan MI8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Wisconsin WI5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $3,786.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care314$3,773$1,441 – $7,137
Children’s5fewer than 20 hospitals
Critical access30$3,875$1,120 – $7,280
Ownership
For-profit29$5,008$774 – $9,110
Government43$2,856$1,367 – $3,875
Non-profit277$3,895$1,609 – $7,246
System affiliation
Part of a system293$3,895$1,457 – $7,246
Independent57$2,501$1,216 – $5,063

Cash price vs list price

Median list price (chargemaster)$6,600
Median cash price$3,786
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

250 hospitals filed a usable inpatient cash price for this code. The median is $3,875 and the average of the middle 60% is $3,678; most fall between $1,245 and $7,246.

Cash price percentiles, inpatient, across 250 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$844$1,449$3,875$6,438$8,580

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($844 vs $8,580).

Of the 270 hospitals that filed this code inpatient, 250 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

350 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 380 hospitals that filed this code at all gave us
Usable cash price — counted350
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded6
Hospitals that filed this code380

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Embolectomy and endarterectomy of lower limbs family.

Hospitals file this code under descriptions such as Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Open removal of a clot from a leg or pelvic vein (CPT 34421) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-34421-open-removal-of-a-clot-from-a-leg-or-pelvic-vein