CPT 36415: what Medicare pays in 2026
Heart or blood vessel procedure
36415 is on Medicare's Clinical Laboratory Fee Schedule at $9.34 for 2026, one national amount that does not vary by locality.
CPT descriptions are copyrighted by the American Medical Association, so this page shows the code number only. The description printed on your bill, or the provider, will tell you what the code covers.
Medicare amounts for 36415 in 2026
- Hospital outpatient status Q4
- lab test: packaged with other services, otherwise paid from the lab fee schedule
- Clinical Laboratory Fee Schedule, national
- $9.34
What providers charged Medicare for 36415 in 2024
From CMS's national utilization file (the most recent full year published). The charge is the provider's list price, the same kind of figure an uninsured patient is usually billed.
| Setting | Services | Average charge | Medicare allowed | Charge vs allowed |
|---|---|---|---|---|
| In an office or other non-facility setting | 40,204,078 | $21.82 | $8.49 | 2.6× |
| In a facility setting | 76,459 | $21.48 | $8.61 | 2.5× |