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Procedure price report · Other vascular catheterization, not heart

Full replacement of a tunneled central IV catheter

CPT 36581the billing code this page is about

Complete exchange of a tunneled central venous catheter that has no port or pump, using the same vein entry site.

Hospitals typically charge $3,287 cash for this outpatient procedure — the median across 1,954 hospitals that filed a usable cash price; the average of the middle 60% is $3,510. Most fall between $1,747 and $6,139 (20th–80th percentile).

Hospitals
1,954
States
50
Filings dated
Feb 2024 – 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 1,954 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
$1,032$2,035$3,287$5,354$8,619

The most expensive tenth of hospitals charges at least 8.4× what the cheapest tenth charges ($1,032 vs $8,619).

How the prices are spread

$700 – $927: 65 hospitals$700$927 – $1,229: 85 hospitals$1,229 – $1,628: 115 hospitals$1,229$1,628 – $2,157: 168 hospitals$2,157 – $2,858: 237 hospitals$2,157$2,858 – $3,787: 379 hospitals$3,787 – $5,017: 254 hospitals$3,787$5,017 – $6,648: 225 hospitals$6,648 – $8,808: 139 hospitals$6,648$8,808 – $11,670: 93 hospitals$8,808median $3,287price bands are equal on a log scale
Hospitals per price band (1,760 of 1,954 — the bands cover the 5th to 95th percentile)
FromToHospitals
$700$92765
$927$1,22985
$1,229$1,628115
$1,628$2,157168
$2,157$2,858237
$2,858$3,787379
$3,787$5,017254
$5,017$6,648225
$6,648$8,808139
$8,808$11,67093

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,226
Median cash price$3,287
Cash as a multiple of Medicare1.02×

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 $3,287.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,579 across 10 hospitalsME$1,579Vermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $1,637 across 10 hospitalsNH$1,637Washington: median $4,391 across 51 hospitalsWA$4,391Idaho: median $4,291 across 13 hospitalsID$4,291Montana: median $1,285 across 14 hospitalsMT$1,285North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,444 across 43 hospitalsMN$3,444Illinois: median $3,573 across 83 hospitalsIL$3,573Wisconsin: median $2,861 across 65 hospitalsWI$2,861Michigan: median $2,877 across 62 hospitalsMI$2,877New York: median $3,770 across 74 hospitalsNY$3,770Massachusetts: median $4,110 across 37 hospitalsMA$4,110Oregon: median $4,760 across 36 hospitalsOR$4,760Nevada: median $3,434 across 11 hospitalsNV$3,434Wyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $5,530 across 11 hospitalsSD$5,530Iowa: median $2,618 across 26 hospitalsIA$2,618Indiana: median $2,837 across 55 hospitalsIN$2,837Ohio: median $3,238 across 113 hospitalsOH$3,238Pennsylvania: median $3,730 across 93 hospitalsPA$3,730New Jersey: median $4,085 across 55 hospitalsNJ$4,085Connecticut: median $3,935 across 19 hospitalsCT$3,935Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,568 across 163 hospitalsCA$4,568Utah: median $3,053 across 26 hospitalsUT$3,053Colorado: median $2,885 across 33 hospitalsCO$2,885Nebraska: median $2,280 across 20 hospitalsNE$2,280Missouri: median $2,598 across 50 hospitalsMO$2,598Kentucky: median $8,542 across 24 hospitalsKY$8,542West Virginia: median $1,689 across 23 hospitalsWV$1,689Virginia: median $2,588 across 43 hospitalsVA$2,588Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,075 across 31 hospitalsAZ$2,075New Mexico: median $3,845 across 11 hospitalsNM$3,845Kansas: median $1,684 across 23 hospitalsKS$1,684Arkansas: median $1,772 across 18 hospitalsAR$1,772Tennessee: median $975 across 43 hospitalsTN$975North Carolina: median $1,545 across 46 hospitalsNC$1,545South Carolina: median $3,611 across 36 hospitalsSC$3,611Oklahoma: median $2,080 across 32 hospitalsOK$2,080Louisiana: median $2,648 across 34 hospitalsLA$2,648Mississippi: median $2,342 across 29 hospitalsMS$2,342Alabama: median $3,332 across 21 hospitalsAL$3,332Georgia: median $5,262 across 62 hospitalsGA$5,262Hawaii: median $2,856 across 11 hospitalsHI$2,856Texas: median $4,421 across 161 hospitalsTX$4,421Florida: median $3,379 across 90 hospitalsFL$3,379
Cash price by state, most expensive first. National median $3,287. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY24$8,542+160%$1,257 – $12,638
South Dakota SD11$5,530+68%$3,167 – $6,843
Georgia GA62$5,262+60%$2,291 – $7,335
Oregon OR36$4,760+45%$1,419 – $7,917
California CA163$4,568+39%$2,835 – $9,415
Texas TX161$4,421+35%$2,660 – $7,999
Washington WA51$4,391+34%$1,309 – $6,115
Idaho ID13$4,291+31%$3,053 – $7,280
Massachusetts MA37$4,110+25%$2,505 – $5,559
New Jersey NJ55$4,085+24%$1,898 – $5,855
Connecticut CT19$3,935+20%$2,283 – $6,064
New Mexico NM11$3,845+17%$3,098 – $7,290
New York NY74$3,770+15%$2,090 – $6,810
Pennsylvania PA93$3,730+14%$1,959 – $5,321
South Carolina SC36$3,611+10%$2,880 – $6,337
Illinois IL83$3,573+9%$1,302 – $6,143
Minnesota MN43$3,444+5%$1,284 – $4,689
Nevada NV11$3,434+4%$2,083 – $8,248
Florida FL90$3,379+3%$1,863 – $8,820
Alabama AL21$3,332+1%$2,247 – $5,008
Ohio OH113$3,238−1%$2,734 – $7,501
Utah UT26$3,053−7%$3,053 – $3,592
Colorado CO33$2,885−12%$2,148 – $5,464
Michigan MI62$2,877−12%$850 – $4,608
Wisconsin WI65$2,861−13%$2,086 – $3,307
Hawaii HI11$2,856−13%$1,668 – $5,222
Indiana IN55$2,837−14%$1,820 – $5,983
Louisiana LA34$2,648−19%$1,380 – $4,770
Iowa IA26$2,618−20%$1,844 – $4,288
Missouri MO50$2,598−21%$1,764 – $3,147
Virginia VA43$2,588−21%$1,637 – $5,150
Mississippi MS29$2,342−29%$1,334 – $2,791
Nebraska NE20$2,280−31%$1,582 – $3,318
Oklahoma OK32$2,080−37%$1,601 – $4,487
Arizona AZ31$2,075−37%$1,256 – $11,654
Arkansas AR18$1,772−46%$1,369 – $3,687
West Virginia WV23$1,689−49%$189 – $5,727
Kansas KS23$1,684−49%$955 – $2,621
New Hampshire NH10$1,637−50%$204 – $3,803
Maine ME10$1,579−52%$441 – $5,826
North Carolina NC46$1,545−53%$1,181 – $3,386
Montana MT14$1,285−61%$266 – $2,206
Tennessee TN43$975−70%$886 – $3,193
Alaska AK9not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Vermont VT3not 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 $3,287.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,699$3,368$1,844 – $6,186
Children’s46$3,318$1,764 – $5,712
Critical access201$2,784$882 – $5,213
Ownership
For-profit219$4,421$2,086 – $10,538
Government249$2,827$1,186 – $5,809
Non-profit1,478$3,287$1,824 – $5,832
System affiliation
Part of a system1,666$3,307$1,863 – $6,139
Independent288$3,014$1,151 – $5,775

Cash price vs list price

Median list price (chargemaster)$6,039
Median cash price$3,287
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

1,481 hospitals filed a usable inpatient cash price for this code. The median is $3,307 and the average of the middle 60% is $3,586; most fall between $1,863 and $6,143.

Cash price percentiles, inpatient, across 1,481 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
$1,131$2,166$3,307$5,450$8,354

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($1,131 vs $8,354).

Of the 1,584 hospitals that filed this code inpatient, 1,481 gave a usable cash price; 36 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 66 a list price only.

How complete is this

1,954 of the 3,956 hospitals with a price file in our corpus (49%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,106 hospitals that filed this code at all gave us
Usable cash price — counted1,954
Cash price carrying a plausibility flag — shown on the compare tool, excluded here75
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded72
Hospitals that filed this code2,106

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 Compl Tun Cvc W/O 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, “Full replacement of a tunneled central IV catheter (CPT 36581) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36581-full-replacement-of-a-tunneled-central-iv-catheter