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Procedure price report · Other vascular catheterization, not heart

Full replacement of a tunneled central IV line with pump

CPT 36583the billing code this page is about

Complete exchange of a tunneled central venous access device that includes a pump implanted under the skin, using the same vein entry site.

Hospitals typically charge $4,966 cash for this outpatient procedure — the median across 610 hospitals that filed a usable cash price; the average of the middle 60% is $5,194. Most fall between $2,230 and $9,407 (20th–80th percentile).

Hospitals
610
States
44
Filings dated
Jun 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 610 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
$1,386$2,667$4,966$8,004$12,982

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($1,386 vs $12,982).

How the prices are spread

$656 – $907: 7 hospitals$656$907 – $1,256: 20 hospitals$1,256 – $1,738: 26 hospitals$1,256$1,738 – $2,406: 51 hospitals$2,406 – $3,330: 63 hospitals$2,406$3,330 – $4,609: 95 hospitals$4,609 – $6,379: 89 hospitals$4,609$6,379 – $8,829: 100 hospitals$8,829 – $12,220: 57 hospitals$8,829$12,220 – $16,914: 42 hospitals$12,220median $4,966price bands are equal on a log scale
Hospitals per price band (550 of 610 — the bands cover the 5th to 95th percentile)
FromToHospitals
$656$9077
$907$1,25620
$1,256$1,73826
$1,738$2,40651
$2,406$3,33063
$3,330$4,60995
$4,609$6,37989
$6,379$8,829100
$8,829$12,22057
$12,220$16,91442

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,685
Median cash price$4,966
Cash as a multiple of Medicare0.87×

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 $4,966.

Alaska: no hospital in the corpus filed a usable priceAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 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: median $2,428 across 13 hospitalsWA$2,428Idaho: 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: no hospital in the corpus filed a usable priceNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,738 across 24 hospitalsIL$2,738Wisconsin: 4 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $3,732 across 17 hospitalsMI$3,732New York: median $6,397 across 28 hospitalsNY$6,397Massachusetts: 7 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,199 across 12 hospitalsOR$2,199Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $3,062 across 18 hospitalsIA$3,062Indiana: median $2,439 across 17 hospitalsIN$2,439Ohio: median $7,096 across 28 hospitalsOH$7,096Pennsylvania: median $6,678 across 29 hospitalsPA$6,678New Jersey: median $5,908 across 34 hospitalsNJ$5,908Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $10,498 across 69 hospitalsCA$10,498Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $3,105 across 16 hospitalsCO$3,105Nebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: median $4,664 across 16 hospitalsVA$4,664Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $8,633 across 17 hospitalsAZ$8,633New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $1,985 across 10 hospitalsNC$1,985South Carolina: median $5,579 across 11 hospitalsSC$5,579Oklahoma: median $1,386 across 13 hospitalsOK$1,386Louisiana: median $2,424 across 14 hospitalsLA$2,424Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $4,265 across 28 hospitalsGA$4,265Hawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,602 across 66 hospitalsTX$4,602Florida: median $5,071 across 31 hospitalsFL$5,071
Cash price by state, most expensive first. National median $4,966. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA69$10,498+111%$5,665 – $10,875
Arizona AZ17$8,633+74%$2,341 – $13,072
Ohio OH28$7,096+43%$3,741 – $12,002
Pennsylvania PA29$6,678+34%$3,297 – $9,139
New York NY28$6,397+29%$3,500 – $6,946
New Jersey NJ34$5,908+19%$4,099 – $6,839
South Carolina SC11$5,579+12%$5,579 – $6,332
Florida FL31$5,071+2%$2,028 – $16,914
Virginia VA16$4,664−6%$4,480 – $8,809
Texas TX66$4,602−7%$4,441 – $13,770
Georgia GA28$4,265−14%$3,838 – $6,307
Michigan MI17$3,732−25%$644 – $7,651
Colorado CO16$3,105−37%$2,516 – $6,987
Iowa IA18$3,062−38%$2,264 – $3,062
Illinois IL24$2,738−45%$918 – $8,851
Indiana IN17$2,439−51%$2,099 – $3,308
Washington WA13$2,428−51%$2,113 – $5,875
Louisiana LA14$2,424−51%$1,869 – $3,384
Oregon OR12$2,199−56%$603 – $2,199
North Carolina NC10$1,985−60%$1,985 – $3,646
Oklahoma OK13$1,386−72%$1,386 – $11,021
Tennessee TN9not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
Massachusetts MA7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Wisconsin WI4not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Utah UT1not 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 $4,966.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care544$5,368$2,393 – $9,035
Children’s19fewer than 20 hospitals
Critical access44$2,985$1,530 – $12,563
Ownership
For-profit75$5,596$2,667 – $13,072
Government78$4,910$2,028 – $6,828
Non-profit454$4,857$2,246 – $8,809
System affiliation
Part of a system512$5,071$2,439 – $9,733
Independent98$4,108$952 – $8,808

Cash price vs list price

Median list price (chargemaster)$8,583
Median cash price$4,966
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

455 hospitals filed a usable inpatient cash price for this code. The median is $4,784 and the average of the middle 60% is $5,471; most fall between $2,393 and $10,810.

Cash price percentiles, inpatient, across 455 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
$1,386$2,959$4,784$8,809$13,320

The most expensive tenth of hospitals charges at least 9.6× what the cheapest tenth charges ($1,386 vs $13,320).

Of the 493 hospitals that filed this code inpatient, 455 gave a usable cash price; 18 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

610 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 660 hospitals that filed this code at all gave us
Usable cash price — counted610
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded18
Hospitals that filed this code660

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 5, 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 Ctr Vad W/Subq 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 line with pump (CPT 36583) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36583-full-replacement-of-a-tunneled-central-iv-line-with-pump