How much does Medicare pay for CPT 36590?

Medicare allowed an average of $196.77 per service and paid $151.55 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1227.29, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 36590?

Removal of central venous tube with port or pump. It was billed 10,297 times to 10,245 Medicare beneficiaries by 651 providers in 2024.

Does 36590 pay differently in an office than a hospital?

Yes. The allowed amount averaged $204.18 in an office setting and $195.42 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 36590 most?

Diagnostic Radiology, with 3,061 services from 210 clinicians. Next are Interventional Radiology, Physician Assistant, General Surgery.

CPT 36590

Removal of central venous tube with port or pump

$196.77Medicare-allowed amount per service, averaged across 10,297 services

Providers submitted

$1227.29

Asking price, not received

Medicare allowed

$196.77

The fee schedule figure

Medicare paid

$151.55

Balance is patient coinsurance

Providers submitted an average of $1227.29 for this code and Medicare allowed $196.77 — 6.2× 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 $151.55 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $204.18
Hospital / facility: $195.42

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 1,596 services were billed in an office setting and 8,701 in a facility.

Services: 10,297
Beneficiaries: 10,245
Providers billing it: 651
Total allowed: $2,026,141

What Medicare pays for CPT 36590

Across 10,297 services billed by 651 providers to 10,245 beneficiaries, Medicare allowed an average of $196.77 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 36590

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	3,061	3,051	$181.76	210
Interventional Radiology	2,370	2,348	$182.87	150
Physician Assistant	2,175	2,170	$154.95	123
General Surgery	861	858	$186.32	63
Nurse Practitioner	636	635	$162.69	41
Ambulatory Surgical Center	526	524	$589.12	25
Vascular Surgery	238	233	$182.00	13
Surgical Oncology	201	201	$184.11	15
Internal Medicine	78	78	$199.45	3
Thoracic Surgery	65	64	$187.96	4
Infectious Disease	39	36	$245.39	1
Undefined Physician type	19	19	$173.50	1
Colorectal Surgery (Proctology)	16	16	$161.43	1
Gynecological Oncology	12	12	$173.59	1

36590 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	1,201	$193.49	$140.77	71
Florida	829	$197.25	$147.85	54
Texas	772	$231.87	$182.52	47
New York	550	$199.60	$136.08	28
Pennsylvania	516	$176.60	$135.36	37
Illinois	453	$207.71	$147.50	29
Maryland	406	$202.18	$151.05	25
Virginia	386	$174.22	$134.38	27
Arizona	365	$159.60	$124.53	22
Kansas	337	$220.45	$181.76	20
Massachusetts	335	$181.95	$129.51	19
New Jersey	324	$238.67	$169.73	16
Ohio	268	$188.17	$143.74	16
Washington	259	$174.87	$128.65	17
North Carolina	236	$188.29	$152.65	18
Georgia	226	$172.87	$130.29	15
Colorado	192	$162.35	$126.95	13
Missouri	189	$168.12	$133.58	13
Tennessee	187	$211.90	$180.84	11
South Carolina	183	$200.67	$161.57	13
Nebraska	168	$261.23	$220.08	10
Oklahoma	166	$160.76	$130.79	11
Minnesota	161	$212.89	$170.89	12
Iowa	158	$147.97	$121.48	9
Arkansas	139	$318.60	$277.40	6
South Dakota	126	$170.00	$133.49	7
Wisconsin	122	$159.28	$133.77	9
Michigan	117	$172.97	$126.88	9
Kentucky	102	$217.59	$178.56	7
Connecticut	97	$176.20	$120.79	6
Idaho	83	$146.93	$119.26	7
Mississippi	76	$284.47	$243.62	5
Vermont	69	$163.13	$121.66	5
New Hampshire	67	$158.46	$125.56	5
Alaska	50	$340.92	$198.75	4
Montana	50	$164.71	$127.48	3
New Mexico	49	$185.03	$139.46	4
West Virginia	43	$165.16	$121.97	3
Indiana	41	$294.82	$242.95	3
Utah	39	$138.34	$114.80	3
Louisiana	34	$199.73	$159.36	3
Delaware	31	$183.28	$146.44	2
Nevada	28	$198.72	$167.66	2
North Dakota	26	$165.53	$132.47	2
Oregon	25	$178.00	$132.36	2
Rhode Island	16	$206.73	$141.78	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
36589Removal of tunneled central venous tube$161.38
36573Insertion of tube for infusion$94.78
36581Replacement of tunneled central venous tube$744.12
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.