CPT 36573 Fee Schedule
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.
| 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 | • None • RT - Right side of body • LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 36573 |
National average reimbursement for CPT 36573 by major payers:
$424.43
$539.39
$571.97
$625.62
| 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 36573 | ||||||
United | 36573 | $688.94 | 1336395565 - KAMAL ABULEBDA | 350593390 - DEACONESS HOSPITAL INC | IN | Pediatric Critical Care Medicine Physician (2080P0203X) |
United | 36573 | $1052.26 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | 36573 | $1147.57 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 36573 | $1386.45 | 1851477665 - SHUNICHI HOMMA | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Cardiovascular Disease Physician (207RC0000X) |
United | 36573 | $253.61 | 1548299746 - ANIL MAHESHWARI | 112887080 - (NY) ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC | NY | Internal Medicine Physician (207R00000X) |
United | 36573 | $1147.57 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 36573 | $498.51 | 1154356798 - PHILLIP BAHRAMIPOUR | 203400107 - (NJ) DIRECT INTERVENTIONAL ACCESS LLC | NJ | Diagnostic Radiology Physician (2085R0202X) |
United | 36573 | $688.94 | 1831693076 - SUNDEEP MUMMANENI | 350593390 - DEACONESS HOSPITAL INC | GA | Internal Medicine Physician (207R00000X) |
United | 36573 | $1128.45 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 36573 | $198.38 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 36573 | $519.33 | 1699074518 - LAURA CONTINETTI | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 36573 | $565.04 | 1235183070 - RACHEL GORDON | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Infectious Disease Physician (207RI0200X) |
United | 36573 | $1386.45 | 1689750408 - MUREDACH REILLY | 135598093 - COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK | NY | Cardiovascular Disease Physician (207RC0000X) |
United | 36573 | $4190.00 | 1861650780 - CHILDRENS NATIONAL MEDICAL CENTER | 530196580 - CHILDRENS HOSPITAL | DC | Children's Hospital (282NC2000X) |
United | 36573 | $688.94 | 1053514943 - DEACONESS CLINIC, INC, <UNAVAIL> | 350593390 - DEACONESS HOSPITAL INC | IN | Occupational Medicine Clinic/Center (261QX0100X) |
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 36573 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36573 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 36573 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 |
|---|---|---|
| 36568-CPT | Moderate | Insertion Of Peripherally Inserted Central Venous Catheter (Picc) Without Subcutaneous Port Or Pump; Without Imaging Guidance Younger Than 5 Years Of Age (Desc Rvsd 1/1/19) |
| 36569-CPT | Moderate | Insertion Of Peripherally Inserted Central Venous Catheter (Picc) Without Subcutaneous Port Or Pump Without Imaging Guidance Age 5 Years And Older (Desc Rvsd 1/1/19) |
| 36570-CPT | High | Insertion Of Peripherally Inserted Central Venous Access Device, With Subcutaneous Port; Under 5 Years Of Age |
| 36573-CPT | Moderate | Insertion Of Peripherally Inserted Central Venous Catheter (Picc) Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiolo- Gical Supervision And Interpretation Required To Perform The Insertion; Age 5 Years Or Older |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36573. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36573 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 36573) and we'll show you how you compare in 15 minutes or less.