Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in Georgia
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in Georgia
| Provider | Medicare | Services |
|---|---|---|
| Rayapudi, Madhavi MD | $299.23 | 98 |
Georgia Pricing in Context
In Georgia, 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 $96.63 — 27% above the national benchmark of $76.18. 158 providers across the state submitted claims for this procedure in 2023, performing 1.1K total services. Individual payments in GA 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 Georgia is $679.35, 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 Georgia sits above the national Medicare average, commercial rates in the state may also run higher than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Cardiovascular Surgery procedures, the estimated commercial insurance price in Georgia lands near $276.14, with self-pay cash prices typically around $278.87. 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 Georgia?
The average Medicare payment for Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in Georgia is $96.63, which is 27% above the national average of $76.18. Providers in GA typically bill $679.35 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 Georgia?
With commercial insurance in Georgia, Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older costs an estimated $276.14. Without insurance, the estimated cash price is $278.87. 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 Georgia?
158 providers in Georgia billed Medicare for Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in 2023, performing 1.1K 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 Georgia than the national average?
No — Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older costs 27% above the national average in Georgia. The state average Medicare payment is $96.63 compared to $76.18 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.