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Balloon Opening of a Blocked Artery Below the Knee

Massachusetts rates for HCPCS 37228

A catheter is threaded down to a narrowed or blocked artery below the knee, and a small balloon is inflated inside it to press the blockage open and restore blood flow to the lower leg and foot. It covers the first such vessel treated in one leg. It is used when poor circulation is causing rest pain or wounds that will not heal.

Rates data updated July 2026.

How much does Balloon Opening of a Blocked Artery Below the Knee cost?

$7,244

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $7,244 for this service. The price depends on where it is billed: about $28,184 from a physician practice, and about $4,677 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28,184$28,184 to $28,184
FacilityA hospital or hospital-owned outpatient department$4,677$56.23 to $8,318

How much rates vary

Facilitymedian $4,677 · 10th to 90th $56 to $13,490Professionalmedian $28,184 · 10th to 90th $1,047 to $28,184
$100$500$2K$10Kfacility $4,677professional $28,184

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
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$37,153.52
AllWays Health Partners
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
Health New England
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$12,022.64
Typical High
$13,489.63
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$7,244.36
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$37,153.52
Mass General Brigham
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$6,165.95
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43

Where Massachusetts sits

The same service costs 1071.5 times more in Indiana than in South Carolina. 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.

Massachusetts· 19th of 50

$7,244

IN $35,481SC $33.11

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.