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Starting Vein-To-Vein ECMO Life Support

Hawaii rates for HCPCS 33946

Covers the physician work of setting up and starting an external machine that draws blood from a vein, adds oxygen and removes carbon dioxide, then returns the blood to a vein. This form supports failing lungs while the patient's own heart continues to do the pumping. It covers getting the support running, not the day-to-day management afterwards.

Rates data updated July 2026.

How much does Starting Vein-To-Vein ECMO Life Support cost?

$324

Typical facility fee. In Hawaii, July 2026.

Insurers have agreed to pay about $324 for this service. Most negotiated rates run $324 to $525.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $2,512 to $2,818Professionalmedian $324 · 10th to 90th $295 to $372
$500.0$1.0K$2.0Kfacility $2,818professional $324

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$323.59
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89

Where Hawaii sits

The same service costs 33.1 times more in California than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $324 · 48th of 49
CA $10,000ND $302

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.