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Replacement Of A Long-Term Central IV Line

Hawaii rates for HCPCS 36581

An existing long-term intravenous catheter, one that runs under the skin to a large vein near the heart, is removed and replaced with a new one through the same access site, without a separate medication reservoir or port attached. This is used when a catheter that has been in place for ongoing IV access needs to be swapped out.

Rates data updated October 2026.

How much does Replacement Of A Long-Term Central IV Line cost?

$2,259

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $2,259 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $1,259 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,000$200 to $1,175
Facility feeThe hospital or surgery center$1,259$1,096 to $3,020

How much rates vary

Facilitymedian $1,259 · 10th to 90th $977 to $3,890Professionalmedian $1,000 · 10th to 90th $30 to $4,169
$50$100$200$500$1K$2K$5Kfacility $1,259professional $1,000

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$933.25
Median
$2,818.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$257.04
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,000.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$831.76
Typical High
$1,174.90
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$295.12
Median
$1,000.00
Typical High
$1,122.02
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$251.19
Typical High
$5,248.07

Where Hawaii sits

The same service costs 5.1 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Hawaii· 44th of 51

$2,259

$1,000 physician + $1,259 facility

CO $7,315MT $1,443

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.