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Procedure price report · Other vascular catheterization, not heart

Full replacement of a PICC line through the same vein

CPT 36584the billing code this page is about

Complete exchange of a peripherally inserted central catheter, without port or pump, using the same vein entry site.

Hospitals typically charge $1,838 cash for this outpatient procedure — the median across 2,052 hospitals that filed a usable cash price; the average of the middle 60% is $1,901. Most fall between $910 and $3,238 (20th–80th percentile).

Hospitals
2,052
States
50
Filings dated
Jan 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 2,052 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
$530$1,070$1,838$2,880$4,578

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($530 vs $4,578).

How the prices are spread

$346 – $459: 56 hospitals$346$459 – $609: 83 hospitals$609 – $808: 95 hospitals$609$808 – $1,072: 181 hospitals$1,072 – $1,423: 229 hospitals$1,072$1,423 – $1,888: 314 hospitals$1,888 – $2,506: 327 hospitals$1,888$2,506 – $3,325: 283 hospitals$3,325 – $4,412: 162 hospitals$3,325$4,412 – $5,855: 122 hospitals$4,412median $1,838price bands are equal on a log scale
Hospitals per price band (1,852 of 2,052 — the bands cover the 5th to 95th percentile)
FromToHospitals
$346$45956
$459$60983
$609$80895
$808$1,072181
$1,072$1,423229
$1,423$1,888314
$1,888$2,506327
$2,506$3,325283
$3,325$4,412162
$4,412$5,855122

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,608
Median cash price$1,838
Cash as a multiple of Medicare1.14×

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 $1,838.

Alaska: median $2,333 across 11 hospitalsAK$2,333Maine: median $1,424 across 11 hospitalsME$1,424Vermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,922 across 50 hospitalsWA$1,922Idaho: median $2,061 across 14 hospitalsID$2,061Montana: median $549 across 12 hospitalsMT$549North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,286 across 45 hospitalsMN$1,286Illinois: median $1,465 across 83 hospitalsIL$1,465Wisconsin: median $946 across 79 hospitalsWI$946Michigan: median $1,560 across 72 hospitalsMI$1,560New York: median $1,869 across 74 hospitalsNY$1,869Massachusetts: median $2,136 across 35 hospitalsMA$2,136Oregon: median $2,348 across 39 hospitalsOR$2,348Nevada: median $1,712 across 10 hospitalsNV$1,712Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,733 across 11 hospitalsSD$2,733Iowa: median $1,455 across 30 hospitalsIA$1,455Indiana: median $1,418 across 57 hospitalsIN$1,418Ohio: median $2,534 across 116 hospitalsOH$2,534Pennsylvania: median $1,891 across 100 hospitalsPA$1,891New Jersey: median $2,130 across 57 hospitalsNJ$2,130Connecticut: median $2,381 across 17 hospitalsCT$2,381Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,999 across 163 hospitalsCA$2,999Utah: median $1,928 across 27 hospitalsUT$1,928Colorado: median $1,890 across 42 hospitalsCO$1,890Nebraska: median $1,259 across 23 hospitalsNE$1,259Missouri: median $1,503 across 50 hospitalsMO$1,503Kentucky: median $1,762 across 15 hospitalsKY$1,762West Virginia: median $1,616 across 12 hospitalsWV$1,616Virginia: median $1,927 across 47 hospitalsVA$1,927Maryland: 8 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,298 across 36 hospitalsAZ$1,298New Mexico: median $1,937 across 11 hospitalsNM$1,937Kansas: median $1,451 across 30 hospitalsKS$1,451Arkansas: median $832 across 17 hospitalsAR$832Tennessee: median $500 across 49 hospitalsTN$500North Carolina: median $1,277 across 62 hospitalsNC$1,277South Carolina: median $1,803 across 36 hospitalsSC$1,803Oklahoma: median $1,310 across 41 hospitalsOK$1,310Louisiana: median $953 across 38 hospitalsLA$953Mississippi: median $783 across 36 hospitalsMS$783Alabama: median $1,735 across 27 hospitalsAL$1,735Georgia: median $2,728 across 69 hospitalsGA$2,728Hawaii: median $1,383 across 13 hospitalsHI$1,383Texas: median $2,414 across 148 hospitalsTX$2,414Florida: median $1,873 across 88 hospitalsFL$1,873
Cash price by state, most expensive first. National median $1,838. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA163$2,999+63%$1,672 – $4,648
South Dakota SD11$2,733+49%$1,965 – $2,733
Georgia GA69$2,728+48%$1,510 – $4,943
Ohio OH116$2,534+38%$1,618 – $3,375
Texas TX148$2,414+31%$1,573 – $3,683
Connecticut CT17$2,381+30%$1,349 – $3,284
Oregon OR39$2,348+28%$567 – $3,783
Alaska AK11$2,333+27%$955 – $2,902
Massachusetts MA35$2,136+16%$1,359 – $3,911
New Jersey NJ57$2,130+16%$1,721 – $4,881
Idaho ID14$2,061+12%$1,218 – $3,542
New Mexico NM11$1,937+5%$1,723 – $2,505
Utah UT27$1,928+5%$1,928 – $2,269
Virginia VA47$1,927+5%$796 – $2,247
Washington WA50$1,922+5%$897 – $2,898
Pennsylvania PA100$1,891+3%$727 – $3,218
Colorado CO42$1,890+3%$1,193 – $3,980
Florida FL88$1,873+2%$1,351 – $4,504
New York NY74$1,869+2%$983 – $3,361
South Carolina SC36$1,803−2%$1,182 – $2,554
Kentucky KY15$1,762−4%$329 – $6,238
Alabama AL27$1,735−6%$1,077 – $2,506
Nevada NV10$1,712−7%$388 – $3,360
West Virginia WV12$1,616−12%$657 – $1,908
Michigan MI72$1,560−15%$490 – $2,444
Missouri MO50$1,503−18%$836 – $2,570
Illinois IL83$1,465−20%$721 – $3,014
Iowa IA30$1,455−21%$637 – $3,093
Kansas KS30$1,451−21%$769 – $2,292
Maine ME11$1,424−23%$833 – $2,412
Indiana IN57$1,418−23%$793 – $2,298
Hawaii HI13$1,383−25%$359 – $3,172
Oklahoma OK41$1,310−29%$878 – $2,537
Arizona AZ36$1,298−29%$972 – $4,614
Minnesota MN45$1,286−30%$726 – $2,710
North Carolina NC62$1,277−31%$929 – $1,652
Nebraska NE23$1,259−32%$818 – $1,817
Louisiana LA38$953−48%$574 – $1,882
Wisconsin WI79$946−49%$726 – $1,846
Arkansas AR17$832−55%$581 – $1,748
Mississippi MS36$783−57%$447 – $1,677
Montana MT12$549−70%$549 – $1,462
Tennessee TN49$500−73%$385 – $1,497
Maryland MD8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Vermont VT5not 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 $1,838.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,700$1,902$998 – $3,375
Children’s50$2,156$897 – $3,056
Critical access294$1,365$359 – $2,714
Ownership
For-profit203$2,193$1,218 – $4,656
Government295$1,538$690 – $2,707
Non-profit1,546$1,890$910 – $3,232
System affiliation
Part of a system1,739$1,890$933 – $3,284
Independent313$1,598$769 – $2,717

Cash price vs list price

Median list price (chargemaster)$3,218
Median cash price$1,838
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

1,568 hospitals filed a usable inpatient cash price for this code. The median is $2,032 and the average of the middle 60% is $2,035; most fall between $942 and $3,377.

Cash price percentiles, inpatient, across 1,568 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
$599$1,134$2,032$3,092$4,643

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($599 vs $4,643).

Of the 1,675 hospitals that filed this code inpatient, 1,568 gave a usable cash price; 42 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 64 a list price only.

How complete is this

2,052 of the 3,956 hospitals with a price file in our corpus (52%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,214 hospitals that filed this code at all gave us
Usable cash price — counted2,052
Cash price carrying a plausibility flag — shown on the compare tool, excluded here88
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded68
Hospitals that filed this code2,214

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 Complete Replacement Picc Rs&I.

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 PICC line through the same vein (CPT 36584) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36584-full-replacement-of-a-picc-line-through-the-same-vein