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Procedure price report · Peripheral vascular bypass

Upper arm to forearm artery bypass using a vein graft

CPT 35523the billing code this page is about

Open surgery that reroutes blood from the artery in the upper arm to one of the forearm arteries using a segment of the patient's own vein.

Hospitals typically charge $2,122 cash for this outpatient procedure — the median across 183 hospitals that filed a usable cash price; the average of the middle 60% is $2,676. Most fall between $1,361 and $5,855 (20th–80th percentile).

Hospitals
183
States
37
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 183 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
$843$1,524$2,122$4,860$8,156

The most expensive tenth of hospitals charges at least 9.7× what the cheapest tenth charges ($843 vs $8,156).

How the prices are spread

$269 – $385: 1 hospitals$269$385 – $550: 0 hospitals$550 – $786: 5 hospitals$550$786 – $1,123: 9 hospitals$1,123 – $1,605: 41 hospitals$1,123$1,605 – $2,294: 34 hospitals$2,294 – $3,278: 15 hospitals$2,294$3,278 – $4,684: 22 hospitals$4,684 – $6,692: 18 hospitals$4,684$6,692 – $9,563: 20 hospitals$6,692median $2,122price bands are equal on a log scale
Hospitals per price band (165 of 183 — the bands cover the 5th to 95th percentile)
FromToHospitals
$269$3851
$385$5500
$550$7865
$786$1,1239
$1,123$1,60541
$1,605$2,29434
$2,294$3,27815
$3,278$4,68422
$4,684$6,69218
$6,692$9,56320

By state

The median cash price in each state, against the national median of $2,122.

Alaska: 1 hospital 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: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 6 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $8,156 across 13 hospitalsWI$8,156Michigan: median $1,565 across 26 hospitalsMI$1,565New York: 7 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $269 across 17 hospitalsPA$269New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 7 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,005 across 14 hospitalsOK$2,005Louisiana: 1 hospital 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: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,122. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI13$8,156+284%$8,156 – $8,156
New Jersey NJ12$5,110+141%$4,350 – $5,855
Oklahoma OK14$2,005−6%$2,005 – $12,358
Michigan MI26$1,565−26%$1,527 – $2,089
Pennsylvania PA17$269−87%$211 – $977
Illinois IL9not enough hospitals filed a usable price
California CA7not enough hospitals filed a usable price
New York NY7not enough hospitals filed a usable price
Minnesota MN6not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
Tennessee TN1not 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 $2,122.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care149$2,122$1,450 – $5,419
Children’s3fewer than 20 hospitals
Critical access31$1,969$1,361 – $8,156
Ownership
For-profit16fewer than 20 hospitals
Government19fewer than 20 hospitals
Non-profit148$2,014$1,333 – $6,274
System affiliation
Part of a system149$2,068$1,361 – $6,274
Independent34$2,941$1,464 – $4,677

Cash price vs list price

Median list price (chargemaster)$3,530
Median cash price$2,122
Cash as a share of list, median hospital63%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

129 hospitals filed a usable inpatient cash price for this code. The median is $2,089 and the average of the middle 60% is $2,595; most fall between $1,191 and $6,612.

Cash price percentiles, inpatient, across 129 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
$756$1,450$2,089$4,860$8,156

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($756 vs $8,156).

Of the 154 hospitals that filed this code inpatient, 129 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 8 a list price only.

How complete is this

183 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 231 hospitals that filed this code at all gave us
Usable cash price — counted183
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
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 — excluded13
Hospitals that filed this code231

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Peripheral vascular bypass family.

Hospitals file this code under descriptions such as Bypass W/Vein Brachial-Ulnar/-Radial.

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, “Upper arm to forearm artery bypass using a vein graft (CPT 35523) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-35523-upper-arm-to-forearm-artery-bypass-using-a-vein-graft