CPT 36221 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Cardiovascular System |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • XU - Unusual Non-Overlapping Service • 59 - Distinct Procedural Service |
| Complexity Level | High |
National average reimbursement for CPT 36221 by major payers:
$1,185.73
$1,501.16
$1,512.65
$1,640.95
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 36221 | ||||||
United | 36221 | $1576.43 | 1205352341 - HEARING HEALTHCARE SOLUTIONS, INC., AUDIBEL HEARING CENTER | 204914238 - NORTHLAND HEARING CENTERS, INC. | FL | Single Specialty Group (193400000X) |
United | 36221 | $1049.77 | 1063679447 - RAMI SARTAWI | 131740119 - (NY) MONTEFIORE NYACK HOSPITAL | FL | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 36221 | $926.72 | 1689058125 - ADVANCED PHYSICAL MEDICINE & REHAB | 473815920 - (FL) ADVANCED PHYSICAL MEDICINE REHAB | FL | Single Specialty Group (193400000X) |
United | 36221 | $813.09 | 1497719710 - RON ARISON MD PL LLC | 30515654 - (FL) RON ARISON, M.D., P.L. | FL | Single Specialty Group (193400000X) |
United | 36221 | $984.65 | 1336479781 - VOLUSIA RENAL CONSULTANTS LLC | 271563382 - (FL) VOLUSIA RENAL CONSULTANTS LLC | FL | Single Specialty Group (193400000X) |
United | 36221 | $1375.52 | 1841289204 - PROFESSIONAL PARK PEDIATRICS P.A. | 593557024 - (FL) PROFESSIONAL PARK PEDIATRICS PA | FL | Single Specialty Group (193400000X) |
United | 36221 | $735.38 | 1801903653 - DONALD C MARCUS DO PA, SUNRISE PEDIATRICS | 311068213 - (FL) SUNRISE PEDIATRICS | FL | Single Specialty Group (193400000X) |
United | 36221 | $187.05 | 1104198258 - BOWES IMAGING CENTER, LLC, AXCESS DIAGNOSTICS POINTE WEST | 201226825 - (FL) BOWES IMAGING CENTER LLC | FL | Single Specialty Group (193400000X) |
United | 36221 | $896.40 | 1467436501 - MAURICIO HERNANDEZ | 650785111 | FL | Specialist (174400000X) |
United | 36221 | $1252.93 | 1700961018 - ERIC WEISS | 593505878 - (FL) NORTHEAST FLORIDA PLASTIC SURGERY | FL | Specialist (174400000X) |
United | 36221 | $1274.25 | 1053557124 - LINDA YARRIS-EWERT PHD MD PA | 651147398 - (FL) LINDA YARRISEWERT PHD MD PA | FL | Single Specialty Group (193400000X) |
United | 36221 | $941.89 | 1447782875 - HEART VEIN AND VASCULAR LLC | 812444353 - (FL) HEART VEIN AND VASCULAR LLC | FL | Single Specialty Group (193400000X) |
United | 36221 | $162.83 | 1003914441 - THE HEALTHCARING CLINIC OF FLORIDA, LLC, THE LITTLE CLINIC OF FLORIDA LLC | 412240165 - (FL) THE HEALTHCARING CLINIC OF FLORIDA LLC | FL | Single Specialty Group (193400000X) |
United | 36221 | $1375.52 | 1437109733 - GULF COAST INFECTIOUS DISEASES INC | 204744987 - (FL) GULF COAST INFECTIOUS DISEASES, INC. | FL | Single Specialty Group (193400000X) |
United | 36221 | $1751.10 | 1902086192 - FRANCOISE VENERONI | 650003177 - CLEVELAND CLINIC FLORIDA A NONPROFIT CORPORATION | FL | Specialist (174400000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 36221 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36221 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 36221 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 36215-CPT | High | Selective Catheter Placement, Arterial System; Each First Order Thoracic Or Brachiocephalic Branch, Within A Vascular Family |
| 36221-CPT | High | Non-Selective Catheter Placement Thoracic Aorta With Angiography Of The Extracranial Carotid Vertebral And/Or Intracranial Vessels Unilateralor Bilateral And All Associated Radiological Supervision And Interpretation Includes Angio- Graphy Of The Cervicocerebral Arch When Performed |
| 36222-CPT | High | Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Extracranial Ca- Rotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiogra-Phy Of The Cervicocerebral Arch When Performed |
| 36223-CPT | High | Selective Catheter Placement Common Carotid Or Innominate Artery Unilateral Any Approach With Angiography Of The Ipsilateral Intracranial Ca- Rotid Circulation And All Associated Radiological Supervision And Interpretation Includes Angiogra-Phy Of The Extracranial Carotid And Cervicocere- Bral Arch When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36221. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36221 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 36221) and we'll show you how you compare in 15 minutes or less.