Price Checker / CPT 36478
How much does Endovenous Laser 1st Vein cost?
CPT 36478 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 5.4x the fair price. This is well above fair — push back or dispute it.
Fair price
$1,450–$2,950
What this should cost
With insurance
~$175,200
Typical out-of-pocket
Overcharged if over
$3,700
Push back above this
The average hospital charge of $11,812 is $9,612 over the fair price (about 5.4x the fair rate).
What hospitals charge for Endovenous Laser 1st Vein
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Southwestern Medical Center Lawton, OK | $23,676 | — | 2315% |
| Cox Monett Hospital MONETT, MO | $9,002 | — | 2002% |
| Oaklawn Hospital Marshall, MI | $14,572 | — | 1089% |
| Henry County Hospital Napoleon, OH | $7,821 | — | 698% |
| Clinton Memorial Hospital Wilmington, OH | $3,990 | — | 307% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Endovenous Laser 1st Vein
CPT code 36478 refers to endovenous laser 1st vein (billing description: "Endovenous laser 1st vein"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $247 in a facility (hospital or surgery center) and $980 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
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.