How much does Medicare pay for CPT 36589?

Medicare allowed an average of $161.38 per service and paid $125.55 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $663.44, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 36589?

Removal of tunneled central venous tube. It was billed 33,549 times to 32,603 Medicare beneficiaries by 1,463 providers in 2024.

Does 36589 pay differently in an office than a hospital?

Yes. The allowed amount averaged $147.27 in an office setting and $166.59 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 36589 most?

Ambulatory Surgical Center, with 5,758 services from 115 clinicians. Next are Nephrology, Diagnostic Radiology, Physician Assistant.

CPT 36589

Removal of tunneled central venous tube

$161.38Medicare-allowed amount per service, averaged across 33,549 services

Providers submitted

$663.44

Asking price, not received

Medicare allowed

$161.38

The fee schedule figure

Medicare paid

$125.55

Balance is patient coinsurance

Providers submitted an average of $663.44 for this code and Medicare allowed $161.38 — 4.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $125.55 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $147.27
Hospital / facility: $166.59

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 9,043 services were billed in an office setting and 24,506 in a facility.

Services: 33,549
Beneficiaries: 32,603
Providers billing it: 1,463
Total allowed: $5,414,138

What Medicare pays for CPT 36589

Across 33,549 services billed by 1,463 providers to 32,603 beneficiaries, Medicare allowed an average of $161.38 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 36589

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	5,758	5,599	$320.69	115
Nephrology	5,537	5,459	$131.04	237
Diagnostic Radiology	4,570	4,447	$128.26	250
Physician Assistant	4,538	4,398	$112.56	224
Interventional Radiology	3,609	3,530	$128.04	188
Vascular Surgery	3,116	3,022	$146.55	171
Nurse Practitioner	2,925	2,854	$117.79	141
General Surgery	1,254	1,200	$141.04	62
Internal Medicine	952	915	$139.67	36
Infectious Disease	692	654	$157.54	24
Cardiology	294	231	$84.32	1
Critical Care (Intensivists)	74	73	$140.17	2
Thoracic Surgery	59	59	$118.93	3
Cardiac Surgery	56	51	$121.31	2
General Practice	26	23	$117.65	2

36589 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	4,386	$183.32	$128.21	148
Texas	3,333	$158.30	$126.07	147
Florida	2,537	$156.43	$120.51	117
New York	1,469	$159.35	$111.51	68
Maryland	1,319	$171.56	$128.60	47
Ohio	1,267	$169.90	$138.75	54
Illinois	1,259	$157.19	$117.17	69
Georgia	1,243	$158.20	$123.31	63
Arizona	1,178	$180.49	$148.02	39
Pennsylvania	1,150	$157.93	$124.34	53
North Carolina	1,048	$148.74	$121.50	50
Virginia	1,032	$171.46	$134.51	44
New Jersey	900	$194.07	$140.06	41
Indiana	882	$160.38	$131.54	35
Michigan	805	$140.75	$106.73	45
Tennessee	723	$158.03	$133.49	27
Mississippi	651	$153.98	$133.23	27
South Carolina	642	$148.21	$119.97	23
Missouri	617	$144.28	$115.99	35
Minnesota	547	$136.47	$106.38	16
Oklahoma	525	$115.47	$93.90	21
Massachusetts	469	$129.44	$94.21	26
Nevada	465	$222.69	$169.45	13
Kansas	459	$188.34	$156.28	17
Arkansas	437	$142.87	$125.05	20
Alabama	421	$165.27	$139.33	22
Wisconsin	420	$154.18	$126.24	25
Louisiana	396	$148.57	$121.61	19
Washington	372	$146.21	$106.17	19
Iowa	308	$121.34	$102.18	16
Kentucky	231	$124.39	$101.69	10
Connecticut	224	$139.54	$97.38	13
South Dakota	210	$111.15	$88.33	11
Oregon	209	$198.32	$144.75	9
Colorado	189	$116.23	$91.10	12
New Mexico	157	$134.87	$103.89	8
Rhode Island	129	$226.10	$177.15	2
Nebraska	128	$121.20	$99.61	7
Delaware	121	$149.44	$118.15	4
District of Columbia	120	$140.71	$100.11	6
Utah	118	$164.66	$131.02	8
North Dakota	73	$119.73	$95.24	4
Hawaii	65	$144.27	$108.72	3
West Virginia	56	$113.07	$86.81	4
Guam	56	$166.33	$127.73	2
Idaho	44	$133.39	$111.24	3
Alaska	41	$164.50	$106.28	2
Maine	31	$126.58	$91.61	2
Vermont	30	$94.60	$74.48	2
Montana	23	$117.76	$98.39	2
New Hampshire	12	$121.40	$96.41	1
U.S. Virgin Islands	11	$131.92	$95.30	1
Wyoming	11	$105.58	$81.95	1

Related codes

36556Insertion of non-tunneled central venous tube for infusion (5 years or$81.86
36561Insertion of central venous tube$398.30
36558Insertion of tunneled central venous tube for infusion (5 years or old$285.71
36591Collection of blood sample from implanted device$27.38
36573Insertion of tube for infusion$94.78
36581Replacement of tunneled central venous tube$744.12
36590Removal of central venous tube$196.77
36514Mechanical separation of plasma from blood$92.43
36593Declotting of central venous tube$38.30
36569Insertion of tube for infusion (5 years or older)$91.24
36500Insertion of tube into vein$91.52
36522Mechanical separation of white blood cells and platelets from blood$90.95

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.