Procedure price report · Other vascular catheterization, not heart

Removal of tissue sheath around a central line

CPT code CPT 36595the billing code this page is about

Mechanical removal of obstructive material that has built up on the outside of a central venous catheter, done through a separate puncture in a vein.

Hospitals typically charge $3,150 cash for this outpatient procedure — the median across 1,508 hospitals that filed a usable cash price; the average of the middle 60% is $3,133. Most fall between $1,429 and $5,432 (20th–80th percentile).

Hospitals
1,508
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 1,508 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
$821$1,680$3,150$4,755$7,836

The most expensive tenth of hospitals charges at least 9.5× what the cheapest tenth charges ($821 vs $7,836).

How the prices are spread

$575 – $777: 53 hospitals$575$777 – $1,051: 85 hospitals$1,051 – $1,421: 85 hospitals$1,051$1,421 – $1,922: 148 hospitals$1,922 – $2,600: 159 hospitals$1,922$2,600 – $3,516: 299 hospitals$3,516 – $4,755: 227 hospitals$3,516$4,755 – $6,431: 146 hospitals$6,431 – $8,698: 108 hospitals$6,431$8,698 – $11,764: 49 hospitals$8,698median $3,150price bands are equal on a log scale
Hospitals per price band (1,359 of 1,508 — the bands cover the 5th to 95th percentile)
FromToHospitals
$575$77753
$777$1,05185
$1,051$1,42185
$1,421$1,922148
$1,922$2,600159
$2,600$3,516299
$3,516$4,755227
$4,755$6,431146
$6,431$8,698108
$8,698$11,76449

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,226
Median cash price$3,150
Cash as a multiple of Medicare0.98×

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 $3,150.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,309 across 39 hospitalsWA$4,309Idaho: median $7,280 across 10 hospitalsID$7,280Montana: median $982 across 10 hospitalsMT$982North Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,174 across 39 hospitalsMN$3,174Illinois: median $2,861 across 68 hospitalsIL$2,861Wisconsin: median $2,175 across 58 hospitalsWI$2,175Michigan: median $2,417 across 56 hospitalsMI$2,417New York: median $3,725 across 56 hospitalsNY$3,725Massachusetts: median $4,851 across 25 hospitalsMA$4,851Oregon: median $4,567 across 29 hospitalsOR$4,567Nevada: median $3,290 across 12 hospitalsNV$3,290Wyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,668 across 20 hospitalsIA$2,668Indiana: median $2,771 across 47 hospitalsIN$2,771Ohio: median $3,052 across 92 hospitalsOH$3,052Pennsylvania: median $4,555 across 76 hospitalsPA$4,555New Jersey: median $3,786 across 49 hospitalsNJ$3,786Connecticut: median $3,619 across 15 hospitalsCT$3,619Rhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,199 across 111 hospitalsCA$4,199Utah: median $1,100 across 23 hospitalsUT$1,100Colorado: median $1,841 across 30 hospitalsCO$1,841Nebraska: median $1,338 across 14 hospitalsNE$1,338Missouri: median $3,006 across 33 hospitalsMO$3,006Kentucky: median $3,632 across 13 hospitalsKY$3,632West Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,059 across 34 hospitalsVA$2,059Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 5 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $2,075 across 27 hospitalsAZ$2,075New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $2,045 across 13 hospitalsAR$2,045Tennessee: median $886 across 36 hospitalsTN$886North Carolina: median $947 across 37 hospitalsNC$947South Carolina: median $2,717 across 31 hospitalsSC$2,717Oklahoma: median $1,869 across 25 hospitalsOK$1,869Louisiana: median $2,225 across 18 hospitalsLA$2,225Mississippi: median $1,400 across 19 hospitalsMS$1,400Alabama: median $2,946 across 13 hospitalsAL$2,946Georgia: median $5,432 across 61 hospitalsGA$5,432Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,194 across 118 hospitalsTX$3,194Florida: median $4,412 across 77 hospitalsFL$4,412
Cash price by state, most expensive first. National median $3,150. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID10$7,280+131%$2,951 – $7,280
Georgia GA61$5,432+72%$3,183 – $7,335
Massachusetts MA25$4,851+54%$2,975 – $6,876
Oregon OR29$4,567+45%$3,220 – $7,817
Pennsylvania PA76$4,555+45%$1,924 – $6,743
Florida FL77$4,412+40%$1,521 – $9,169
Washington WA39$4,309+37%$1,334 – $5,704
California CA111$4,199+33%$2,772 – $6,920
New Jersey NJ49$3,786+20%$2,122 – $5,855
New York NY56$3,725+18%$1,523 – $6,421
Kentucky KY13$3,632+15%$601 – $12,638
Connecticut CT15$3,619+15%$2,451 – $5,389
Nevada NV12$3,290+4%$1,496 – $6,483
Texas TX118$3,194+1%$1,181 – $4,590
Minnesota MN39$3,174+1%$1,042 – $4,169
Ohio OH92$3,052−3%$2,256 – $11,764
Missouri MO33$3,006−5%$2,117 – $4,283
Alabama AL13$2,946−6%$1,870 – $4,125
Illinois IL68$2,861−9%$1,540 – $4,195
Indiana IN47$2,771−12%$1,542 – $3,928
South Carolina SC31$2,717−14%$2,196 – $5,303
Iowa IA20$2,668−15%$1,540 – $3,491
Michigan MI56$2,417−23%$712 – $4,686
Louisiana LA18$2,225−29%$1,175 – $4,638
Wisconsin WI58$2,175−31%$1,006 – $3,790
Arizona AZ27$2,075−34%$1,213 – $13,135
Virginia VA34$2,059−35%$821 – $3,414
Arkansas AR13$2,045−35%$986 – $3,873
Oklahoma OK25$1,869−41%$358 – $2,703
Colorado CO30$1,841−42%$1,766 – $3,887
Mississippi MS19$1,400−56%$799 – $1,991
Nebraska NE14$1,338−58%$412 – $2,017
Utah UT23$1,100−65%$1,100 – $1,294
Montana MT10$982−69%$770 – $1,149
North Carolina NC37$947−70%$623 – $2,293
Tennessee TN36$886−72%$737 – $1,470
Hawaii HI9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Delaware DE5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Wyoming WY2not 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 $3,150.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,334$3,153$1,540 – $5,571
Children’s39$3,672$1,538 – $7,109
Critical access128$2,856$982 – $5,292
Ownership
For-profit135$3,220$1,763 – $7,856
Government175$2,454$821 – $4,552
Non-profit1,191$3,156$1,521 – $5,321
System affiliation
Part of a system1,344$3,150$1,517 – $5,432
Independent164$3,101$1,245 – $5,666

Cash price vs list price

Median list price (chargemaster)$5,316
Median cash price$3,150
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

1,211 hospitals filed a usable inpatient cash price for this code. The median is $3,008 and the average of the middle 60% is $3,117; most fall between $1,325 and $5,729.

Cash price percentiles, inpatient, across 1,211 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
$821$1,579$3,008$4,867$8,259

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($821 vs $8,259).

Of the 1,279 hospitals that filed this code inpatient, 1,211 gave a usable cash price; 20 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 47 a list price only.

How complete is this

1,508 of the 3,956 hospitals with a price file in our corpus (38%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,617 hospitals that filed this code at all gave us
Usable cash price — counted1,508
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded51
Hospitals that filed this code1,617

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.

Hospitals file this code under descriptions such as Mchnl Rmvl Pricath Obstr Cv Dev via Ven Access.

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, “Removal of tissue sheath around a central line (CPT 36595) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36595-removal-of-tissue-sheath-around-a-central-line