Price Checker / CPT 35875

How much does Removal Of Clot In Graft cost?

CPT 35875 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 16x the fair price — among the most extreme markups. Dispute this.

Fair price

$810–$1,600

What this should cost

With insurance

~$4,650

Typical out-of-pocket

Overcharged if over

$2,000

Push back above this

The average hospital charge of $19,500 is $18,300 over the fair price (about 16x the fair rate).

What hospitals charge for Removal Of Clot In Graft

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Kona Community Hospital

KEALAKEKUA, HI

3522%

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About Removal Of Clot In Graft

CPT code 35875 refers to removal of clot in graft (billing description: "Removal of clot in graft"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $538 in a facility (hospital or surgery center) and $538 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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