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See a sample rate comparisonCPT 36511 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | AG - Primary physician GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $91.18 national non-facility rate (2026) · View Medicare rates for 36511 |
| Medicaid Fee Schedule | $74.75 median of the 8 states in the free preview · View Medicaid rates for 36511 |
National average reimbursement for CPT 36511 by major payers:
$137.80
$140.38
$156.84
$174.05
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CPT 36511
5 of 25 sample ratesHigher to lower in this preview
Los Robles Surgicenter, LLC, Los Robles Surgicenter
Los Robles Surgicenter LLC
$5,217.00Published ratePalm Beach International Surgery Center LLC, Palm Beach International Surgery Center At The Paley Institute
Palm Beach International Surgery Center LLC
$1,179.00Published rateNephrology & Endocrine Associates Inc
$628.00Published rateValley Medical Group, P.C., Valley Medical Group Ambulatory Surgery & Procedures Center
Valley Medical Group, P.C.
$489.00Published rateSierra Sigler
Deaconess Hospital Inc
$89.91Published rate
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See a sample payer proposalCPT 36511 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36511 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 36511 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 36511. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36511 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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