Declotting of a vascular access device

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB Declot Vascular Implanted Device or Catheter

Medicaid pricing summary

Low

Average

$264

Median

$175

High

$1.5k

Medicaid rate distribution

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195 hospital rates

#		Plans
1	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · outpatient	2	$175	$175	$16	9%	35	$159 – $191
2	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · outpatient	2	$175	$175	$16	9%	29–38	$159 – $191
3	Tufts Medical Center BOSTON, MA other · both	1	$872	$872	—	—	12	$872 – $872
4	Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient	3	$283	$174	$125	72%	4–40	$29 – $297
5	Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient	3	$283	$174	$125	72%	4–40	$29 – $297
6	Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · fee schedule · outpatient	1	$283	$283	—	—	4–40	$283 – $283
7	Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges	1	$365	$365	—	—	2–20	$365 – $365
8	Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · fee schedule · outpatient	2	$156	$156	$127	81%	2–20	$29 – $283
9	Lowell General Hospital Lowell, MA other · both	1	$1.2k	$1.2k	—	—	1–10	$1.2k – $1.2k
10	Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges	1	$872	$872	—	—	1–10	$872 – $872
11	ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · both	1	$34	$34	—	—	—	$34 – $34
12	ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient	1	$34	$34	—	—	—	$34 – $34
13	ADVENTIST HEALTH DELANO Delano, CA fee schedule · both	1	$34	$34	—	—	—	$34 – $34
14	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · both	1	$34	$34	—	—	—	$34 – $34
15	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	1	$34	$34	—	—	—	$34 – $34
16	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · both	1	$34	$34	—	—	—	$34 – $34
17	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient	1	$34	$34	$1	2%	—	$34 – $35
18	ADVENTIST HEALTH TULARE Tulare, CA fee schedule · both	1	$34	$34	—	—	—	$34 – $34
19	ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient	1	$34	$34	$1	2%	—	$34 – $35
20	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	1	$631	$631	—	—	—	$631 – $631
21	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	1	$510	$510	—	—	—	$510 – $510
22	Allina Health Systems Shakopee, MN facility · fee schedule · outpatient	1	$315	$315	—	—	—	$315 – $315
23	Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient	1	$315	$315	—	—	—	$315 – $315
24	Allina Health Systems Owatonna, MN facility · fee schedule · outpatient	1	$315	$315	—	—	—	$315 – $315
25	Allina Health Systems Ulm, MN facility · other · outpatient	1	$170	$170	$1	1%	—	$169 – $171

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CPT 36593