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See a sample rate comparisonCPT 36561 Fee Schedule
Medicare rates as of October 2026
CPT 36561 is classified under Surgery, in the Surgical Procedures on the Cardiovascular System subgroup.
Tunneled Catheter With Port, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter Has A Port Or A Pump Under The Skin For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood.
| 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 | RT - Right side of body LT - Left side of body |
| Complexity Level | High |
| Medicare Fee Schedule | $962.61 national non-facility rate (2026) · View Medicare rates for 36561 |
| Medicaid Fee Schedule | $771.295 median of the 8 states in the free preview · View Medicaid rates for 36561 |
National average reimbursement for CPT 36561 by major payers:
$1,244.66
BCBS / Anthem
$1,518.28
UnitedHealthcare
$1,642.94
Aetna
$643.56
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 36561.
CPT 36561
5 of 25 sample ratesHigher to lower in this preview
Jessica Schnell
University Physicians Incorporated
$4,574.77Published rateStephen Ruffenach
University Physicians Incorporated
$3,590.28Published ratePallabi Sanyal-Dey
University Physicians Incorporated
$3,159.43Published ratePamela Dryden
Poudre Valley Medical Group LLC
$1,767.52Published rateAndrew Bontemps
University Physicians Incorporated
$513.71Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 36561 vs. Other Surgical Procedures on the Cardiovascular System Codes
The table lists codes related to 36561. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 36560-CPT | High | Tunneled Catheter With Port, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter Has A Port Or A Pump Under The Skin For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36561-CPT | High | Tunneled Catheter With Port, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter Has A Port Or A Pump Under The Skin For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36563-CPT | High | Tunneled Catheter With Port, Surgically Embedding (Tunneling) A Thin Tube (Catheter) Into A Major Vein Next To The Heart. The Catheter Has A Port Or A Pump Under The Skin For Direct Repeated Access To The Vein To Give Fluids Medications Or To Draw Blood. |
| 36565-CPT | High | Insertion Of Tunneled Centrall, Insertion Of Tunneled Centrally Inserted Central Venous Access Device Requiring Two Catheters Via Two Separate Venous Access Sites Without Subcutaneous Port Or Pump (Eg Tesio Type Catheter) Requir |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36561 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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Frequently Asked Questions
To understand the potential cost of a medical procedure beforehand, you can take several steps. First, ask your healthcare provider for the specific CPT (Current Procedural Terminology) code for the service. With this code, you can then use online tools like Payerprice's fee schedule lookup tool, which allows you to search for prices based on the CPT code and your specific location. Additionally, contact your insurance company to understand your out-of-pocket responsibilities (deductibles, co-pays, co-insurance) for that particular service.
CPT (Current Procedural Technology) codes are a set of medical codes used by physicians, hospitals, and other healthcare providers to describe and bill for medical, surgical, and diagnostic services and procedures. They are crucial for understanding costs because they standardize the description of services. When you have the CPT code for a specific procedure or service, you can accurately look up its associated fees using resources like Payerprice's fee schedule lookup tool, helping you to get a clearer picture of potential costs.
If your medical bill appears too high, start by requesting an itemized bill from your provider to see a detailed breakdown of all charges. Then, using the CPT codes listed on the bill, you can compare the billed amounts against typical rates in your area using resources like Payerprice's fee schedule lookup tool. This tool allows you to search for common fees for specific CPT codes in your location. Additionally, contact your insurance company to ensure all covered services were processed correctly according to your plan benefits. If discrepancies remain, discuss them directly with your provider's billing department.
Many hospitals are required to post their standard charges (chargemasters) on their websites, which can offer a general overview. However, these lists can be complex and may not reflect the actual out-of-pocket cost for insured patients. For more specific and actionable pricing information based on individual procedures, it's often more helpful to obtain the specific CPT code for the service you need. With the CPT code and your location, you can then utilize tools such as Payerprice's fee schedule lookup tool to get more precise pricing estimates.
Your insurance significantly impacts the final price you pay through various mechanisms such as deductibles (the amount you pay before your insurance starts to cover costs), co-pays (a fixed amount you pay for a service), and co-insurance (a percentage of the cost you pay after your deductible is met). Each plan has an out-of-pocket maximum, which is the most you'll pay in a year for covered services. To understand your specific cost, it's best to contact your insurance provider directly with the CPT code of the service you are considering. You can also use tools like Payerprice to estimate the baseline cost of services, which can then help you calculate your potential out-of-pocket expenses based on your insurance plan's benefits.