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See a sample rate comparisonCPT 36500 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Insert Catheter For Blood Draw, Surgical Insertion Of A Thin Tube (Catheter) Into A Vein For Sampling Blood From An Organ Or A Blood Vessel In The Umbilical Cord.
| 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 | 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $160.32 national non-facility rate (2026) · View Medicare rates for 36500 |
| Medicaid Fee Schedule | $126.565 median of the 8 states in the free preview · View Medicaid rates for 36500 |
National average reimbursement for CPT 36500 by major payers:
$239.13
$251.97
$272.44
$288.37
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CPT 36500
5 of 25 sample ratesHigher to lower in this preview
Tulsa Hand Surgery Center LLC
$1,050.00Published rateRed Cedar Surgery Center, LLC, Red Cedar Surgery Center, PLLC
Red Cedar Surgery Center, PLLC
$566.00Published rateLowery A. Woodall Outpatient Surgery Facility, LLC
$315.00Published ratePremier 2020, LLC, Premier Surgical Center
Premier 2020 LLC
$151.00Published rateMercy Ambulatory Surgery Center Ltd
$69.00Published rate
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See a sample payer proposalCPT 36500 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36500 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 36500 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 |
|---|---|---|
| 36500-CPT | Moderate | Insert Catheter For Blood Draw, Surgical Insertion Of A Thin Tube (Catheter) Into A Vein For Sampling Blood From An Organ Or A Blood Vessel In The Umbilical Cord. |
| 36510-CPT | Low | Insert Catheter For Blood Draw, Surgical Insertion Of A Thin Tube (Catheter) Into A Vein For Sampling Blood From An Organ Or A Blood Vessel In The Umbilical Cord. |
| 36511-CPT | Low | Blood Component Removal, An Amount Of Blood Is Removed From The Body. It Is Filtered To Remove A Particular Component Such As White Or Red Cells Platelets Plasma Or Lipids. The Filtered Blood Is Then Returned To The Body. |
| 36512-CPT | Low | Blood Component Removal, An Amount Of Blood Is Removed From The Body. It Is Filtered To Remove A Particular Component Such As White Or Red Cells Platelets Plasma Or Lipids. The Filtered Blood Is Then Returned To The Body. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36500 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.
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