CPT 36589 Surgery - Cardiovascular

How Much Does Removal Tunneled Cv Catheter Cost?

Also known as: Removal tunneled cv cath (CPT 36589)

Removal of a tunneled central venous catheter.

The total estimated cost of Removal Tunneled Cv Catheter (CPT 36589) is $421 to $789, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $125.

Total Estimated Cost of Care

$421 — $789

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$125
Hospital Facility Fee
$376
Anesthesia (est.)
$25
Important: The physician fee of $125 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$125
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$166
Non-facility setting

Patient Guide: Removal Tunneled Cv Catheter

What you need to know before your appointment

What to Expect

The catheter cuff is freed from the tissue tunnel and the catheter is withdrawn. A bandage is applied.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Treatment completion, catheter infection, catheter no longer needed

How to Prepare

No fasting needed. Pressure is applied for 10-15 minutes after removal.

Procedures Commonly Done Together

These procedures are frequently performed alongside Removal tunneled cv cath

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How to Reduce Your Cost for Removal tunneled cv cath

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($166) differs from the facility rate ($125). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

2.22
Work RVU
1.18
Practice Expense RVU
0.35
Malpractice RVU
4.98
Total RVU

Payment = Total RVU (4.98) x CF ($33.40) = $166

Frequently Asked Questions

How much does Removal tunneled cv cath cost?

The Medicare facility rate for Removal tunneled cv cath is $125. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Removal tunneled cv cath cost without insurance?

Without insurance, the cost of Removal tunneled cv cath can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Removal tunneled cv cath?

Most commercial health insurance plans and Medicare cover Removal tunneled cv cath when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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