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

Repair of acquired artery-vein fistula in arm or leg

CPT 35190the billing code this page is about

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

Hospitals typically charge $4,365 cash for this outpatient procedure — the median across 479 hospitals that filed a usable cash price; the average of the middle 60% is $4,608. Most fall between $1,415 and $8,486 (20th–80th percentile).

Hospitals
479
States
44
Filings dated
Aug 2022 – 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 479 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
$1,227$1,862$4,365$7,535$11,917

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($1,227 vs $11,917).

How the prices are spread

$846 – $1,116: 17 hospitals$846$1,116 – $1,472: 58 hospitals$1,472 – $1,941: 30 hospitals$1,472$1,941 – $2,560: 39 hospitals$2,560 – $3,377: 30 hospitals$2,560$3,377 – $4,454: 44 hospitals$4,454 – $5,874: 31 hospitals$4,454$5,874 – $7,748: 98 hospitals$7,748 – $10,219: 31 hospitals$7,748$10,219 – $13,478: 56 hospitals$10,219median $4,365price bands are equal on a log scale
Hospitals per price band (434 of 479 — the bands cover the 5th to 95th percentile)
FromToHospitals
$846$1,11617
$1,116$1,47258
$1,472$1,94130
$1,941$2,56039
$2,560$3,37730
$3,377$4,45444
$4,454$5,87431
$5,874$7,74898
$7,748$10,21931
$10,219$13,47856

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,685
Median cash price$4,365
Cash as a multiple of Medicare0.77×

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 $4,365.

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 $11,102 across 19 hospitalsWA$11,102Idaho: 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: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,862 across 13 hospitalsIL$1,862Wisconsin: median $6,027 across 27 hospitalsWI$6,027Michigan: median $1,412 across 28 hospitalsMI$1,412New York: median $6,397 across 29 hospitalsNY$6,397Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $10,793 across 18 hospitalsOR$10,793Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,862 across 18 hospitalsIA$1,862Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,489 across 17 hospitalsOH$3,489Pennsylvania: median $8,130 across 21 hospitalsPA$8,130New Jersey: median $5,983 across 30 hospitalsNJ$5,983Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,535 across 62 hospitalsCA$7,535Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $10,296 across 11 hospitalsMO$10,296Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $2,420 across 12 hospitalsNC$2,420South Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,227 across 21 hospitalsOK$1,227Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,322 across 25 hospitalsTX$5,322Florida: median $14,431 across 10 hospitalsFL$14,431
Cash price by state, most expensive first. National median $4,365. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL10$14,431+231%$3,489 – $16,117
Washington WA19$11,102+154%$2,477 – $14,091
Oregon OR18$10,793+147%$1,353 – $12,245
Missouri MO11$10,296+136%$1,238 – $12,215
Pennsylvania PA21$8,130+86%$6,574 – $9,743
California CA62$7,535+73%$2,773 – $11,917
New York NY29$6,397+47%$1,823 – $6,605
Wisconsin WI27$6,027+38%$4,252 – $6,348
New Jersey NJ30$5,983+37%$4,881 – $6,881
Texas TX25$5,322+22%$4,064 – $6,338
Ohio OH17$3,489−20%$2,062 – $5,983
North Carolina NC12$2,420−45%$2,420 – $2,521
Iowa IA18$1,862−57%$1,862 – $2,262
Illinois IL13$1,862−57%$1,342 – $3,076
Michigan MI28$1,412−68%$1,270 – $6,027
Oklahoma OK21$1,227−72%$1,227 – $5,504
Minnesota MN9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Mississippi MS1not 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 $4,365.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care391$4,759$1,676 – $9,171
Children’s7fewer than 20 hospitals
Critical access81$4,252$1,342 – $7,200
Ownership
For-profit41$4,036$1,342 – $8,028
Government70$2,564$1,460 – $6,828
Non-profit368$5,072$1,474 – $8,937
System affiliation
Part of a system407$5,322$1,679 – $9,434
Independent72$2,455$1,290 – $6,396

Cash price vs list price

Median list price (chargemaster)$6,613
Median cash price$4,365
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

323 hospitals filed a usable inpatient cash price for this code. The median is $4,064 and the average of the middle 60% is $4,610; most fall between $1,353 and $10,156.

Cash price percentiles, inpatient, across 323 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
$1,119$1,823$4,064$8,394$11,917

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,119 vs $11,917).

Of the 357 hospitals that filed this code inpatient, 323 gave a usable cash price; 26 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

479 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 539 hospitals that filed this code at all gave us
Usable cash price — counted479
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded11
Hospitals that filed this code539

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 4, 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 other than head and neck family.

Hospitals file this code under descriptions such as Rpr Acquired/Traumatic Av Fistula Extremities.

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 arm or leg (CPT 35190) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-35190-repair-of-acquired-artery-vein-fistula-in-arm-or-leg