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

To find out the cost of a specific medical procedure, you can start by contacting your insurance provider to understand your coverage, deductible, co-pays, and out-of-pocket maximums. You can also ask your healthcare provider for an estimate. For a more detailed lookup of potential costs based on CPT codes and your specific location, you can utilize tools like Payerprice, which offers a fee schedule lookup tool.

What is a CPT code and why is it important for medical billing?

CPT stands for Current Procedural Terminology. CPT codes are a standardized set of medical codes used by healthcare professionals to describe medical, surgical, and diagnostic services performed on patients. They are critical for billing purposes, ensuring accurate communication between providers and insurance companies regarding the services rendered, and for determining appropriate reimbursement.

What is the difference between in-network and out-of-network providers?

An in-network provider has a contract with your health insurance plan, agreeing to provide services at pre-negotiated rates. This generally results in lower out-of-pocket costs for you. An out-of-network provider does not have a contract with your insurance plan, meaning you might pay a higher percentage of the cost, or even the full cost, until your deductible is met, and your plan may cover a smaller portion or none at all.

What should I do if I receive an unexpected or unusually high medical bill?

If you receive an unexpected or unusually high medical bill, first review it carefully for any errors. Compare it against your Explanation of Benefits (EOB) from your insurance company. Contact your healthcare provider's billing department for clarification and inquire about an itemized bill. You can also reach out to your insurance company to understand what was covered and why. If you believe the bill is incorrect, you have the right to appeal it with both your provider and your insurer.

Where can I find information on typical fee schedules for medical procedures based on CPT codes and location?

For information on typical fee schedules for medical procedures, especially tailored to specific CPT codes and your location, you should use a specialized lookup tool. Payerprice offers a fee schedule lookup tool that allows users to search with CPT codes and specific geographical locations to get detailed pricing information.

CPT 36573 Fee Schedule

Q: What factors affect fee schedules?

Fee schedules are affected by several factors including: Medicare & Medicaid government-set reimbursement amounts; Private Insurance negotiated rates between providers and insurance companies; Geographic Location, where costs may be higher in urban areas; and Provider Type, as hospital providers may have different rates than private practice.

Last Verified: September 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.

Insj Picc Rs I 5 Yr, Insertion Of Peripherally Inserted Central Venous Catheter Picc Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiological Supervision And Interpretation Required To Perform The Insertion Age 5 Years Or Older

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
Medicaid Fee Schedule	View Medicaid rates for 36573

National average reimbursement for CPT 36573 by major payers:

$424.43

$539.39

$571.97

$178.30

Compare published rates across providers.

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CPT 36573

5 of 25 sample ratesHigher to lower in this preview

Childrens National Medical Center
Childrens Hospital
DCChildren's HospitalNPI 1861650780Tax ID 53-0196580
$4,190.00Published rate
Shunichi Homma
Columbia University In The City Of New York
NYCardiovascular Disease PhysicianNPI 1851477665Tax ID 13-5598093
$1,352.89Published rate
Kamal Abulebda
Deaconess Hospital Inc
INPediatric Critical Care Medicine PhysicianNPI 1336395565Tax ID 35-0593390
$688.94Published rate
Laura Continetti
Town Center Orthopaedic Associates, P.C.
VAPhysical TherapistNPI 1699074518Tax ID 54-1383504
$519.33Published rate
Christopher Raio
St Francis Hospital
NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-2050523
$198.38Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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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	Insert Catheter In Large Vein, Insertion Through The Skin 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.
36569-CPT	Moderate	Insert Catheter In Large Vein, Insertion Through The Skin 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.
36572-CPT	Moderate	Insj Picc Rs I 5 Yr, Insertion Of Peripherally Inserted Central Venous Catheter Picc Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiological Supervision And Interpretation Required To Perform The Insertion Younger Than 5 Years Of Age
36573-CPT	Moderate	Insj Picc Rs I 5 Yr, Insertion Of Peripherally Inserted Central Venous Catheter Picc Without Subcutaneous Port Or Pump Including All Imaging Guidance Image Documentation And All Associated Radiological 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.

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CPT 36573 Fee Schedule

Childrens National Medical Center

Shunichi Homma

Kamal Abulebda

Laura Continetti

Christopher Raio