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Procedure price report · Other vascular catheterization, not heart

Full replacement of arm-placed central line with port

CPT 36585the billing code this page is about

Complete exchange of a central venous access device placed through a peripheral vein and attached to a port under the skin, using the same vein entry site.

Hospitals typically charge $3,487 cash for this outpatient procedure — the median across 948 hospitals that filed a usable cash price; the average of the middle 60% is $3,602. Most fall between $1,734 and $6,273 (20th–80th percentile).

Hospitals
948
States
48
Filings dated
Mar 2023 – 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 948 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
$791$1,998$3,487$5,215$8,813

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($791 vs $8,813).

How the prices are spread

$486 – $672: 35 hospitals$486$672 – $929: 40 hospitals$929 – $1,284: 36 hospitals$929$1,284 – $1,776: 48 hospitals$1,776 – $2,456: 83 hospitals$1,776$2,456 – $3,396: 167 hospitals$3,396 – $4,696: 202 hospitals$3,396$4,696 – $6,493: 111 hospitals$6,493 – $8,979: 91 hospitals$6,493$8,979 – $12,416: 49 hospitals$8,979median $3,487price bands are equal on a log scale
Hospitals per price band (862 of 948 — the bands cover the 5th to 95th percentile)
FromToHospitals
$486$67235
$672$92940
$929$1,28436
$1,284$1,77648
$1,776$2,45683
$2,456$3,396167
$3,396$4,696202
$4,696$6,493111
$6,493$8,97991
$8,979$12,41649

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,226
Median cash price$3,487
Cash as a multiple of Medicare1.08×

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 $3,487.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 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: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,885 across 29 hospitalsWA$1,885Idaho: 3 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $3,505 across 40 hospitalsIL$3,505Wisconsin: median $4,287 across 16 hospitalsWI$4,287Michigan: median $2,175 across 35 hospitalsMI$2,175New York: median $3,725 across 41 hospitalsNY$3,725Massachusetts: median $4,110 across 15 hospitalsMA$4,110Oregon: median $642 across 18 hospitalsOR$642Nevada: median $3,434 across 10 hospitalsNV$3,434Wyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $2,683 across 15 hospitalsIA$2,683Indiana: median $2,896 across 30 hospitalsIN$2,896Ohio: median $3,189 across 63 hospitalsOH$3,189Pennsylvania: median $3,730 across 49 hospitalsPA$3,730New Jersey: median $4,500 across 43 hospitalsNJ$4,500Connecticut: median $3,540 across 10 hospitalsCT$3,540Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,186 across 82 hospitalsCA$6,186Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $4,586 across 20 hospitalsCO$4,586Nebraska: median $1,998 across 10 hospitalsNE$1,998Missouri: median $3,413 across 22 hospitalsMO$3,413Kentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $5,150 across 15 hospitalsVA$5,150Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $1,832 across 12 hospitalsAZ$1,832New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $975 across 18 hospitalsTN$975North Carolina: median $1,159 across 21 hospitalsNC$1,159South Carolina: median $7,981 across 20 hospitalsSC$7,981Oklahoma: median $486 across 16 hospitalsOK$486Louisiana: median $2,322 across 21 hospitalsLA$2,322Mississippi: median $1,469 across 15 hospitalsMS$1,469Alabama: median $2,818 across 12 hospitalsAL$2,818Georgia: median $3,762 across 42 hospitalsGA$3,762Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,404 across 95 hospitalsTX$3,404Florida: median $3,270 across 55 hospitalsFL$3,270
Cash price by state, most expensive first. National median $3,487. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC20$7,981+129%$4,925 – $7,981
California CA82$6,186+77%$4,219 – $7,885
Virginia VA15$5,150+48%$3,565 – $5,150
Colorado CO20$4,586+32%$2,751 – $14,350
New Jersey NJ43$4,500+29%$3,484 – $7,300
Wisconsin WI16$4,287+23%$4,113 – $4,622
Massachusetts MA15$4,110+18%$1,874 – $4,480
Georgia GA42$3,762+8%$2,931 – $5,392
Pennsylvania PA49$3,730+7%$1,871 – $5,666
New York NY41$3,725+7%$3,226 – $4,265
Connecticut CT10$3,540+2%$1,858 – $5,224
Illinois IL40$3,505+1%$985 – $4,818
Nevada NV10$3,434−2%$1,029 – $6,483
Missouri MO22$3,413−2%$1,644 – $5,250
Texas TX95$3,404−2%$3,090 – $7,150
Florida FL55$3,270−6%$2,327 – $12,416
Ohio OH63$3,189−9%$2,511 – $9,272
Indiana IN30$2,896−17%$812 – $4,130
Alabama AL12$2,818−19%$1,830 – $4,125
Iowa IA15$2,683−23%$2,683 – $2,683
Louisiana LA21$2,322−33%$1,331 – $4,688
Michigan MI35$2,175−38%$339 – $4,342
Nebraska NE10$1,998−43%$1,998 – $2,738
Washington WA29$1,885−46%$1,731 – $5,117
Arizona AZ12$1,832−47%$1,589 – $2,436
Mississippi MS15$1,469−58%$799 – $2,200
North Carolina NC21$1,159−67%$450 – $3,894
Tennessee TN18$975−72%$857 – $1,469
Oregon OR18$642−82%$557 – $7,817
Oklahoma OK16$486−86%$486 – $4,927
Minnesota MN8not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not 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 $3,487.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care849$3,565$1,770 – $6,653
Children’s24$4,047$2,496 – $8,115
Critical access69$2,486$871 – $4,622
Ownership
For-profit101$3,434$2,355 – $8,813
Government131$3,053$909 – $5,392
Non-profit710$3,505$1,793 – $6,653
System affiliation
Part of a system818$3,484$1,770 – $6,653
Independent130$3,532$1,302 – $5,684

Cash price vs list price

Median list price (chargemaster)$6,205
Median cash price$3,487
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

697 hospitals filed a usable inpatient cash price for this code. The median is $3,565 and the average of the middle 60% is $3,869; most fall between $1,858 and $7,320.

Cash price percentiles, inpatient, across 697 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
$975$2,175$3,565$6,186$9,169

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($975 vs $9,169).

Of the 754 hospitals that filed this code inpatient, 697 gave a usable cash price; 22 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 34 a list price only.

How complete is this

948 of the 3,956 hospitals with a price file in our corpus (24%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,036 hospitals that filed this code at all gave us
Usable cash price — counted948
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
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 — excluded37
Hospitals that filed this code1,036

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 Prph Ctr Vad W/Subq Port.

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 arm-placed central line with port (CPT 36585) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36585-full-replacement-of-arm-placed-central-line-with-port