Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in Kentucky
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Kentucky Pricing in Context
In Kentucky, 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 $58.30 — 23% below the national benchmark of $76.18. 75 providers across the state submitted claims for this procedure in 2023, performing 485 total services. Individual payments in KY 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 Kentucky is $556.81, 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 Kentucky 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 Kentucky lands near $155.66, with self-pay cash prices typically around $208.71. 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 Kentucky?
The average Medicare payment for Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in Kentucky is $58.30, which is 23% below the national average of $76.18. Providers in KY typically bill $556.81 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 Kentucky?
With commercial insurance in Kentucky, Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older costs an estimated $155.66. Without insurance, the estimated cash price is $208.71. 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 Kentucky?
75 providers in Kentucky billed Medicare for Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older in 2023, performing 485 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 Kentucky than the national average?
Yes — Insertion Of Tube For Infusion With Imaging Guidance And Review By Radiologist, Patient 5 Years Or Older costs 23% below the national average in Kentucky. The state average Medicare payment is $58.30 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.