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Procedure price report · Other OR procedures on vessels of head and neck

Repair of acquired artery-vein fistula in head or neck

CPT 35188the billing code this page is about

Surgery to close an abnormal connection between an artery and a vein in the head or neck that developed later in life, such as after an injury.

Hospitals typically charge $4,810 cash for this outpatient procedure — the median across 266 hospitals that filed a usable cash price; the average of the middle 60% is $5,086. Most fall between $2,111 and $9,794 (20th–80th percentile).

Hospitals
266
States
33
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 266 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,560$2,486$4,810$7,864$11,058

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($1,560 vs $11,058).

How the prices are spread

$1,135 – $1,443: 10 hospitals$1,135$1,443 – $1,835: 20 hospitals$1,835 – $2,334: 20 hospitals$1,835$2,334 – $2,969: 27 hospitals$2,969 – $3,775: 32 hospitals$2,969$3,775 – $4,802: 10 hospitals$4,802 – $6,107: 37 hospitals$4,802$6,107 – $7,767: 29 hospitals$7,767 – $9,878: 31 hospitals$7,767$9,878 – $12,563: 29 hospitals$9,878median $4,810price bands are equal on a log scale
Hospitals per price band (245 of 266 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,135$1,44310
$1,443$1,83520
$1,835$2,33420
$2,334$2,96927
$2,969$3,77532
$3,775$4,80210
$4,802$6,10737
$6,107$7,76729
$7,767$9,87831
$9,878$12,56329

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,685
Median cash price$4,810
Cash as a multiple of Medicare0.85×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,810.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $10,856 across 11 hospitalsWA$10,856Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $1,377 across 11 hospitalsIL$1,377Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $1,560 across 21 hospitalsMI$1,560New York: median $6,397 across 20 hospitalsNY$6,397Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $11,672 across 16 hospitalsOR$11,672Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $3,009 across 15 hospitalsIA$3,009Indiana: no hospital in the corpus filed a usable priceINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $5,908 across 22 hospitalsNJ$5,908Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $3,453 across 53 hospitalsCA$3,453Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,111 across 12 hospitalsOK$2,111Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,810 across 22 hospitalsTX$4,810Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,810. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Oregon OR16$11,672+143%$2,987 – $12,245
Washington WA11$10,856+126%$10,156 – $12,734
New York NY20$6,397+33%$3,037 – $6,397
New Jersey NJ22$5,908+23%$4,881 – $6,311
Texas TX22$4,8100%$4,810 – $5,944
California CA53$3,453−28%$2,486 – $9,794
Iowa IA15$3,009−37%$3,009 – $3,009
Oklahoma OK12$2,111−56%$2,111 – $2,111
Michigan MI21$1,560−68%$1,560 – $3,494
Illinois IL11$1,377−71%$1,011 – $3,009
Pennsylvania PA9not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Wyoming WY1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $4,810.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care228$4,810$2,111 – $9,794
Children’s5fewer than 20 hospitals
Critical access33$4,810$2,238 – $11,894
Ownership
For-profit20$4,591$1,011 – $8,580
Government26$3,494$2,240 – $6,397
Non-profit220$4,810$2,116 – $9,794
System affiliation
Part of a system234$4,810$2,258 – $9,794
Independent32$2,783$1,632 – $5,983

Cash price vs list price

Median list price (chargemaster)$4,521
Median cash price$4,810
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

172 hospitals filed a usable inpatient cash price for this code. The median is $3,841 and the average of the middle 60% is $4,867; most fall between $2,111 and $9,794.

Cash price percentiles, inpatient, across 172 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,612$2,486$3,841$9,794$11,894

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($1,612 vs $11,894).

Of the 192 hospitals that filed this code inpatient, 172 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

266 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 301 hospitals that filed this code at all gave us
Usable cash price — counted266
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded2
Hospitals that filed this code301

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 5, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR procedures on vessels of head and neck family.

Hospitals file this code under descriptions such as Rpr Acquired/Traumatic Av Fistula Head & Neck.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Repair of acquired artery-vein fistula in head or neck (CPT 35188) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-35188-repair-of-acquired-artery-vein-fistula-in-head-or-neck