CPT stands for Current Procedural Terminology. CPT codes are five-digit numerical codes used by medical professionals to report medical, surgical, and diagnostic services to entities such as physicians, health insurance companies, and accreditation organizations. They standardize the description of medical procedures and services.

How can I find out the cost of a specific medical procedure?

Finding the exact cost of a medical procedure can be complex due to varying factors like your insurance plan, location, and provider. For a personalized estimate, you can contact your healthcare provider's billing department or your insurance company. For a general lookup of fee schedules by CPT code and specific location, you can use tools like Payerprice.

What factors influence the cost of healthcare services?

Several factors affect healthcare costs, including the type of service, the complexity of the procedure, the facility where it's performed (e.g., hospital vs. outpatient clinic), geographical location, the provider's reputation, and your specific insurance plan and its negotiated rates. The CPT code identifies the service, but the price attached to it varies significantly.

Is there a way to compare prices from different healthcare providers for the same service?

Yes, comparing prices can help you make informed decisions. Many insurance companies offer tools to estimate costs, and some states have price transparency initiatives. For a direct comparison of fee schedules for specific CPT codes across different providers or locations, you can utilize resources like Payerprice, which provides lookup tools for this purpose.

What is a "fee schedule" in healthcare?

A fee schedule is a comprehensive list of fees used by health plans to pay physicians or other providers. It specifies the maximum dollar amount that a plan will pay for specific services, often tied to CPT codes. Understanding a fee schedule helps you anticipate the cost of a service before it is rendered.

Where can I look up specific CPT codes and their prices for my location?

To look up specific CPT codes and their associated prices based on your location, you should use specialized tools designed for this purpose. Payerprice offers a fee schedule lookup tool where users can search with a CPT code and specific location to get relevant pricing information. This can help you understand potential costs for medical procedures and services in your area.

CPT 36558 Fee Schedule

Last Verified: July 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.

Catheter Insertion Into Vein, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. This Allows Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood.

Key Fact	Detail
Service Type	Insertion of Central Venous Access Device Central Venous Access Procedures
Common Place of Service	21 - Inpatient Hospital 22 - On Campus Outpatient Hospital
Common Modifiers	None RT - Right side of body LT - Left side of body
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 36558

National average reimbursement for CPT 36558 by major payers:

$970.25

$1,095.79

$1,237.53

$494.60

Preview provider-level rates for...

For billing codeCPT 36558

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	36558	$1599.00	1457460248 - OSC LLC, OMAHA SURGICAL CENER	470693440 - (NE) OSC LLC	NE	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$2795.00	1164513149 - ENDO-SURGI OF UNION ASC LLC	223248249 - (NJ) ENDO-SURGI CENTER, P.A.	NJ	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$530.00	1134293814 - PLYMOUTH LASER CENTER, P.C., PLYMOUTH LASER & SURGICAL CENTER	43292630 - (MA) PLYMOUTH LASER CENTER PC	MA	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$4600.00	1093383655 - SHERMAN ENDOSCOPY CENTER, LLC	861402910 - (TX) SHERMAN ENDOSCOPY CENTER LLC	TX	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$3500.00	1467796730 - WINDSOR MILL SURGERY CENTER, LLC	461412275 - (MD) WINDSOR MILL SURGERY CENTER LLC	MD	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$2700.00	1588312607 - JEWETT ORTHOPEDIC INSTITUTE SURGERY CENTER, LLC	872667237 - (FL) JEWETT ORTHOPEDIC INSTITUTE SURGERY CENTER LLC	FL	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$3976.00	1639433956 - LOWCOUNTRY AMBULATORY CENTER, LLC	274109893 - (SC) LOWCOUNTRY AMBULATORY CENTER LLC	SC	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$3623.00	1275682627 - SUMMIT VIEW SURGERY CENTER, LLC	20659552 - (CO) SUMMIT VIEW SURGERY CENTER, LLC	CO	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$2540.00	1366684326 - PRINCE FREDERICK SURGERY CENTER LLC	264387021 - (MD) PRINCE FREDERICK SURGERY CENTER, LLC	MD	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$1461.00	1053381236 - METHODIST SURGERY CENTER GERMANTOWN LP	621659904 - (TN) METHODIST SURGERY CENTER GERMANTOWN LP	TN	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$870.00	1770537698 - PHYSICIANS SURGERY CENTER OF FLORENCE LLC, PHYSICIANS SURGERY CENTER OF FLORENCE	431983435 - (SC) QHG OF SOUTH CAROLINA INC	SC	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$2974.00	1033635206 - MEDSTAR SURGERY CENTER AT TIMONIUM, LLC	821874292 - (MD) MEDSTAR SURGERY CENTER AT TIMO	MD	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$2035.00	1154199859 - WATSON CLINIC ASC, LLC	934728316	FL	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$3063.00	1346207875 - GREENSBORO SPECIALTY SURGERY CENTER LIMITED PARTNERSHIP	364053840 - (NC) GREENSBORO SPECIALTY SURGERY CENTER LIMITED PARTNERSHIP	NC	Ambulatory Surgical Clinic/Center (261QA1903X)
United	36558	$2317.00	1730151168 - HAWTHORN PLACE OUTPATIENT SURGERY CENTER LP, HAWTHORN SURGERY CENTER	582065044 - (IL) HAWTHORN PLACE OUTPATIENT SURGERY CENTER LP	IL	Ambulatory Surgical Clinic/Center (261QA1903X)
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

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CPT 36558 vs. Other Central Venous Access Procedures Codes

The CPT 36558 code is part of the Insertion of Central Venous Access Device services used for Central Venous Access Procedures. 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 36558 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
36522-CPT	High	Blood Treatment, Therapy That Removes An Amount Of Blood From The Body Filters It Through A Machine That Uses Light Waves To Treat It And Then Returns The Blood Into The Body.
36555-CPT	Moderate	Catheter Insertion Into Vein, Surgical Placement Of A Thin Tube (Catheter) Into A Large Vein Near The Heart. This Is For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood.
36556-CPT	Moderate	Catheter Insertion Into Vein, Surgical Placement Of A Thin Tube (Catheter) Into A Large Vein Near The Heart. This Is For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood.
36558-CPT	Moderate	Catheter Insertion Into Vein, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. This Allows Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36558. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 36558 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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