Connecticut · 36573

Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in Connecticut

Connecticut Medicare Avg
$69.40
9% below national avg
National Medicare Avg
$76.18
All states combined
Billed Charge (CT)
$691.54
What providers submit
Est. Commercial (CT)
$222.52
National avg: $216.70
Est. Cash / Self-Pay (CT)
$255.62
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.3K
Services in CT
117
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Connecticut

Provider Medicare Services
Rotem, Eran MD MPH $69.85 67
Kunchala, Sudhir $67.77 33
Lustberg, Herb MD $68.95 25

Connecticut Pricing in Context

In Connecticut, CPT code 36573 (Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older) carries an average Medicare payment of $69.40 — 9% below the national benchmark of $76.18. 117 providers across the state submitted claims for this procedure in 2023, performing 1.3K total services. Individual payments in CT ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Connecticut is $691.54, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Connecticut sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Cardiovascular Surgery procedures, the estimated commercial insurance price in Connecticut lands near $222.52, with self-pay cash prices typically around $255.62. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older cost in Connecticut?

The average Medicare payment for Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in Connecticut is $69.40, which is 9% below the national average of $76.18. Providers in CT typically bill $691.54 for this procedure.

What does Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older cost with insurance in Connecticut?

With commercial insurance in Connecticut, Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older costs an estimated $222.52. Without insurance, the estimated cash price is $255.62. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in Connecticut?

117 providers in Connecticut billed Medicare for Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in 2023, performing 1.3K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older cheaper in Connecticut than the national average?

Yes — Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older costs 9% below the national average in Connecticut. The state average Medicare payment is $69.40 compared to $76.18 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial