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Procedure price report · Other vascular catheterization, not heart

Replacement of the catheter part of a port or pump

CPT 36578the billing code this page is about

Exchange of only the catheter portion of an implanted central venous access device, leaving the port or pump under the skin in place.

Hospitals typically charge $3,168 cash for this outpatient procedure — the median across 1,342 hospitals that filed a usable cash price; the average of the middle 60% is $3,247. Most fall between $1,148 and $5,941 (20th–80th percentile).

Hospitals
1,342
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 1,342 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
$614$1,595$3,168$5,179$8,432

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($614 vs $8,432).

How the prices are spread

$389 – $544: 40 hospitals$389$544 – $762: 79 hospitals$762 – $1,067: 63 hospitals$762$1,067 – $1,493: 67 hospitals$1,493 – $2,090: 104 hospitals$1,493$2,090 – $2,926: 187 hospitals$2,926 – $4,095: 258 hospitals$2,926$4,095 – $5,733: 177 hospitals$5,733 – $8,025: 158 hospitals$5,733$8,025 – $11,234: 78 hospitals$8,025median $3,168price bands are equal on a log scale
Hospitals per price band (1,211 of 1,342 — the bands cover the 5th to 95th percentile)
FromToHospitals
$389$54440
$544$76279
$762$1,06763
$1,067$1,49367
$1,493$2,090104
$2,090$2,926187
$2,926$4,095258
$4,095$5,733177
$5,733$8,025158
$8,025$11,23478

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,226
Median cash price$3,168
Cash as a multiple of Medicare0.98×

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 $3,168.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 9 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,123 across 42 hospitalsWA$4,123Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $911 across 28 hospitalsMN$911Illinois: median $1,681 across 41 hospitalsIL$1,681Wisconsin: median $2,555 across 48 hospitalsWI$2,555Michigan: median $2,208 across 42 hospitalsMI$2,208New York: median $3,725 across 57 hospitalsNY$3,725Massachusetts: median $4,110 across 23 hospitalsMA$4,110Oregon: median $4,957 across 29 hospitalsOR$4,957Nevada: 8 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,148 across 24 hospitalsIA$1,148Indiana: median $2,253 across 37 hospitalsIN$2,253Ohio: median $4,034 across 90 hospitalsOH$4,034Pennsylvania: median $3,730 across 55 hospitalsPA$3,730New Jersey: median $4,200 across 44 hospitalsNJ$4,200Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,119 across 130 hospitalsCA$5,119Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $3,191 across 29 hospitalsCO$3,191Nebraska: median $1,508 across 16 hospitalsNE$1,508Missouri: median $4,289 across 31 hospitalsMO$4,289Kentucky: median $582 across 10 hospitalsKY$582West Virginia: median $579 across 19 hospitalsWV$579Virginia: median $2,059 across 25 hospitalsVA$2,059Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $2,161 across 22 hospitalsAZ$2,161New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,270 across 10 hospitalsKS$1,270Arkansas: median $1,145 across 10 hospitalsAR$1,145Tennessee: median $688 across 25 hospitalsTN$688North Carolina: median $1,880 across 29 hospitalsNC$1,880South Carolina: median $5,179 across 30 hospitalsSC$5,179Oklahoma: median $1,689 across 26 hospitalsOK$1,689Louisiana: median $1,932 across 25 hospitalsLA$1,932Mississippi: median $1,249 across 14 hospitalsMS$1,249Alabama: median $2,818 across 18 hospitalsAL$2,818Georgia: median $3,071 across 52 hospitalsGA$3,071Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,168 across 110 hospitalsTX$3,168Florida: median $3,185 across 58 hospitalsFL$3,185
Cash price by state, most expensive first. National median $3,168. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC30$5,179+63%$2,410 – $6,798
California CA130$5,119+62%$3,346 – $9,255
Oregon OR29$4,957+56%$411 – $8,876
Missouri MO31$4,289+35%$1,171 – $6,790
New Jersey NJ44$4,200+33%$3,484 – $6,839
Washington WA42$4,123+30%$962 – $5,537
Massachusetts MA23$4,110+30%$1,930 – $6,453
Ohio OH90$4,034+27%$2,614 – $8,889
Pennsylvania PA55$3,730+18%$1,871 – $5,321
New York NY57$3,725+18%$1,321 – $6,510
Colorado CO29$3,191+1%$2,101 – $5,833
Florida FL58$3,185+1%$2,093 – $12,416
Texas TX110$3,1680%$2,626 – $3,769
Georgia GA52$3,071−3%$1,904 – $5,934
Alabama AL18$2,818−11%$1,830 – $4,125
Wisconsin WI48$2,555−19%$2,208 – $4,482
Indiana IN37$2,253−29%$610 – $3,045
Michigan MI42$2,208−30%$387 – $10,243
Arizona AZ22$2,161−32%$1,213 – $11,234
Virginia VA25$2,059−35%$1,925 – $3,565
Louisiana LA25$1,932−39%$1,197 – $3,094
North Carolina NC29$1,880−41%$947 – $3,142
Oklahoma OK26$1,689−47%$1,601 – $3,410
Illinois IL41$1,681−47%$656 – $4,190
Nebraska NE16$1,508−52%$1,041 – $2,716
Kansas KS10$1,270−60%$416 – $2,762
Mississippi MS14$1,249−61%$655 – $2,200
Iowa IA24$1,148−64%$846 – $4,520
Arkansas AR10$1,145−64%$708 – $3,873
Minnesota MN28$911−71%$426 – $3,446
Tennessee TN25$688−78%$591 – $1,986
Kentucky KY10$582−82%$442 – $1,630
West Virginia WV19$579−82%$218 – $2,870
Maine ME9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Nevada NV8not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not 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 $3,168.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,139$3,257$1,508 – $6,169
Children’s29$3,987$1,287 – $7,941
Critical access166$1,812$610 – $4,482
Ownership
For-profit144$3,229$1,812 – $8,023
Government207$2,470$815 – $4,770
Non-profit983$3,232$1,278 – $6,122
System affiliation
Part of a system1,141$3,226$1,291 – $6,016
Independent201$2,638$833 – $5,284

Cash price vs list price

Median list price (chargemaster)$5,518
Median cash price$3,168
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

1,025 hospitals filed a usable inpatient cash price for this code. The median is $3,208 and the average of the middle 60% is $3,434; most fall between $1,209 and $6,438.

Cash price percentiles, inpatient, across 1,025 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
$628$1,676$3,208$5,790$9,004

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($628 vs $9,004).

Of the 1,099 hospitals that filed this code inpatient, 1,025 gave a usable cash price; 31 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 42 a list price only.

How complete is this

1,342 of the 3,956 hospitals with a price file in our corpus (34%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,460 hospitals that filed this code at all gave us
Usable cash price — counted1,342
Cash price carrying a plausibility flag — shown on the compare tool, excluded here69
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 — excluded48
Hospitals that filed this code1,460

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other vascular catheterization, not heart family.

Hospitals file this code under descriptions such as Rplcmt Cath Ctr Vad Subq Port/Pmp.

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, “Replacement of the catheter part of a port or pump (CPT 36578) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36578-replacement-of-the-catheter-part-of-a-port-or-pump