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Procedure price report · Other non-OR therapeutic cardiovascular procedures

Clot-dissolving medicine to unblock a vascular access device

CPT 36593the billing code this page is about

Injection of a clot-dissolving drug into an implanted catheter or port to clear a blockage so the device can be used again.

Hospitals typically charge $446 cash for this outpatient procedure — the median across 2,743 hospitals that filed a usable cash price; the average of the middle 60% is $466. Most fall between $236 and $817 (20th–80th percentile).

Hospitals
2,743
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 2,743 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
$135$269$446$722$1,240

The most expensive tenth of hospitals charges at least 9.2× what the cheapest tenth charges ($135 vs $1,240).

How the prices are spread

$73 – $100: 65 hospitals$73$100 – $138: 93 hospitals$138 – $190: 110 hospitals$138$190 – $261: 244 hospitals$261 – $360: 441 hospitals$261$360 – $496: 473 hospitals$496 – $683: 464 hospitals$496$683 – $940: 306 hospitals$940 – $1,295: 178 hospitals$940$1,295 – $1,784: 108 hospitals$1,295median $446price bands are equal on a log scale
Hospitals per price band (2,482 of 2,743 — the bands cover the 5th to 95th percentile)
FromToHospitals
$73$10065
$100$13893
$138$190110
$190$261244
$261$360441
$360$496473
$496$683464
$683$940306
$940$1,295178
$1,295$1,784108

Against Medicare

Medicare pays (OPPS 2026, national rate)$337
Median cash price$446
Cash as a multiple of Medicare1.32×

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 $446.

Alaska: median $649 across 15 hospitalsAK$649Maine: median $291 across 24 hospitalsME$291Vermont: median $448 across 12 hospitalsVT$448New Hampshire: median $270 across 20 hospitalsNH$270Washington: median $413 across 60 hospitalsWA$413Idaho: median $518 across 21 hospitalsID$518Montana: median $251 across 19 hospitalsMT$251North Dakota: median $341 across 14 hospitalsND$341Minnesota: median $342 across 87 hospitalsMN$342Illinois: median $473 across 118 hospitalsIL$473Wisconsin: median $333 across 102 hospitalsWI$333Michigan: median $394 across 90 hospitalsMI$394New York: median $412 across 95 hospitalsNY$412Massachusetts: median $462 across 46 hospitalsMA$462Oregon: median $484 across 52 hospitalsOR$484Nevada: median $566 across 15 hospitalsNV$566Wyoming: median $265 across 12 hospitalsWY$265South Dakota: median $577 across 18 hospitalsSD$577Iowa: median $359 across 70 hospitalsIA$359Indiana: median $608 across 84 hospitalsIN$608Ohio: median $611 across 134 hospitalsOH$611Pennsylvania: median $446 across 117 hospitalsPA$446New Jersey: median $450 across 56 hospitalsNJ$450Connecticut: median $606 across 19 hospitalsCT$606Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $795 across 183 hospitalsCA$795Utah: median $520 across 28 hospitalsUT$520Colorado: median $511 across 63 hospitalsCO$511Nebraska: median $389 across 59 hospitalsNE$389Missouri: median $378 across 71 hospitalsMO$378Kentucky: median $450 across 39 hospitalsKY$450West Virginia: median $452 across 35 hospitalsWV$452Virginia: median $412 across 58 hospitalsVA$412Maryland: median $468 across 24 hospitalsMD$468Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $264 across 39 hospitalsAZ$264New Mexico: median $387 across 21 hospitalsNM$387Kansas: median $236 across 55 hospitalsKS$236Arkansas: median $224 across 27 hospitalsAR$224Tennessee: median $262 across 60 hospitalsTN$262North Carolina: median $383 across 72 hospitalsNC$383South Carolina: median $677 across 40 hospitalsSC$677Oklahoma: median $351 across 54 hospitalsOK$351Louisiana: median $270 across 48 hospitalsLA$270Mississippi: median $273 across 40 hospitalsMS$273Alabama: median $358 across 34 hospitalsAL$358Georgia: median $612 across 82 hospitalsGA$612Hawaii: median $792 across 15 hospitalsHI$792Texas: median $493 across 175 hospitalsTX$493Florida: median $741 across 106 hospitalsFL$741
Cash price by state, most expensive first. National median $446. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA183$795+78%$356 – $1,375
Hawaii HI15$792+78%$478 – $842
Florida FL106$741+66%$269 – $1,259
South Carolina SC40$677+52%$468 – $733
Alaska AK15$649+46%$339 – $715
Georgia GA82$612+37%$329 – $1,298
Ohio OH134$611+37%$370 – $1,240
Indiana IN84$608+36%$306 – $1,179
Connecticut CT19$606+36%$412 – $895
South Dakota SD18$577+29%$366 – $836
Nevada NV15$566+27%$125 – $656
Utah UT28$520+17%$465 – $633
Idaho ID21$518+16%$282 – $927
Colorado CO63$511+15%$214 – $819
Texas TX175$493+11%$274 – $891
Oregon OR52$484+8%$131 – $752
Illinois IL118$473+6%$203 – $1,049
Maryland MD24$468+5%$293 – $632
Massachusetts MA46$462+4%$197 – $847
West Virginia WV35$452+2%$311 – $735
Kentucky KY39$450+1%$296 – $1,332
New Jersey NJ56$450+1%$367 – $3,986
Vermont VT12$448+1%$119 – $797
Pennsylvania PA117$4460%$266 – $810
Washington WA60$413−7%$161 – $751
New York NY95$412−8%$180 – $788
Virginia VA58$412−8%$278 – $727
Michigan MI90$394−12%$155 – $566
Nebraska NE59$389−13%$144 – $588
New Mexico NM21$387−13%$286 – $647
North Carolina NC72$383−14%$260 – $500
Missouri MO71$378−15%$235 – $729
Iowa IA70$359−19%$134 – $574
Alabama AL34$358−20%$214 – $638
Oklahoma OK54$351−21%$166 – $554
Minnesota MN87$342−23%$207 – $483
North Dakota ND14$341−24%$90 – $554
Wisconsin WI102$333−25%$256 – $496
Maine ME24$291−35%$73 – $394
Mississippi MS40$273−39%$156 – $513
Louisiana LA48$270−39%$138 – $502
New Hampshire NH20$270−39%$47 – $438
Wyoming WY12$265−40%$153 – $489
Arizona AZ39$264−41%$145 – $1,703
Tennessee TN60$262−41%$209 – $556
Montana MT19$251−44%$101 – $373
Kansas KS55$236−47%$130 – $363
Arkansas AR27$224−50%$197 – $439
Rhode Island RI9not enough hospitals filed a usable price
Delaware DE6not 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 $446.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,024$473$262 – $869
Children’s52$478$244 – $1,073
Critical access658$347$156 – $597
Ownership
For-profit264$484$246 – $1,102
Government455$387$165 – $681
Non-profit2,015$452$256 – $817
System affiliation
Part of a system2,253$455$246 – $826
Independent490$403$191 – $727

Cash price vs list price

Median list price (chargemaster)$808
Median cash price$446
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

2,060 hospitals filed a usable inpatient cash price for this code. The median is $478 and the average of the middle 60% is $493; most fall between $257 and $834.

Cash price percentiles, inpatient, across 2,060 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
$163$278$478$741$1,240

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($163 vs $1,240).

Of the 2,197 hospitals that filed this code inpatient, 2,060 gave a usable cash price; 48 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 89 a list price only.

How complete is this

2,743 of the 3,956 hospitals with a price file in our corpus (69%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,939 hospitals that filed this code at all gave us
Usable cash price — counted2,743
Cash price carrying a plausibility flag — shown on the compare tool, excluded here94
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded100
Hospitals that filed this code2,939

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 July 20, 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 non-OR therapeutic cardiovascular procedures family.

Hospitals file this code under descriptions such as Declot by Thrombolytic Agent Implant Device/Cath.

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, “Clot-dissolving medicine to unblock a vascular access device (CPT 36593) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36593-clot-dissolving-medicine-to-unblock-a-vascular-access-device