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Removal of Tissue Sleeve Around a Central Line

Maryland rates for HCPCS 36595

Over time a sleeve of fibrous material can build up around the outside of a long-term central line where it sits in the vein, stopping it from drawing or flowing. This procedure clears that sleeve by entering a vein at a separate site and stripping the material away from the outside of the catheter under X-ray guidance.

Rates data updated July 2026.

How much does Removal of Tissue Sleeve Around a Central Line cost?

$1,698

Typical total for the visit. In Maryland, July 2026.

Insurers have agreed to pay about $1,698 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $1,148 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$214 to $759
Facility feeThe hospital or surgery center$1,148$1,148 to $1,148

How much rates vary

Facilitymedian $1,148 · 10th to 90th $1,148 to $2,239Professionalmedian $550 · 10th to 90th $191 to $1,905
$200$500$1K$2K$5Kfacility $1,148professional $550

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
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$602.56
Typical High
$1,949.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$102.33
Median
$302.00
Typical High
$398.11
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$457.09
Typical High
$1,230.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$512.86
Typical High
$1,202.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$707.95
Typical High
$977.24

Where Maryland sits

The same service costs 10.3 times more in Indiana than in West Virginia. 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

Maryland· 43rd of 50

$1,698

$550 physician + $1,148 facility

IN $10,770WV $1,046

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.