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Procedure price report · Peripheral vascular bypass

Aorta to both groin arteries bypass using a vein graft

CPT 35540the billing code this page is about

Open surgery that routes blood from the aorta in the abdomen to the femoral artery in each groin, using the patient's own vein as the graft material.

Hospitals typically charge $4,350 cash for this outpatient procedure — the median across 155 hospitals that filed a usable cash price; the average of the middle 60% is $4,630. Most fall between $3,194 and $6,311 (20th–80th percentile).

Hospitals
155
States
32
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 155 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
$2,430$3,476$4,350$5,951$9,274

The most expensive tenth of hospitals charges at least 3.8× what the cheapest tenth charges ($2,430 vs $9,274).

How the prices are spread

$1,364 – $1,811: 5 hospitals$1,364$1,811 – $2,405: 4 hospitals$2,405 – $3,193: 15 hospitals$2,405$3,193 – $4,239: 40 hospitals$4,239 – $5,628: 32 hospitals$4,239$5,628 – $7,472: 30 hospitals$7,472 – $9,920: 9 hospitals$7,472$9,920 – $13,171: 5 hospitals$13,171 – $17,487: 1 hospitals$13,171$17,487 – $23,218: 1 hospitals$17,487median $4,350price bands are equal on a log scale
Hospitals per price band (142 of 155 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,364$1,8115
$1,811$2,4054
$2,405$3,19315
$3,193$4,23940
$4,239$5,62832
$5,628$7,47230
$7,472$9,9209
$9,920$13,1715
$13,171$17,4871
$17,487$23,2181

By state

The median cash price in each state, against the national median of $4,350.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: no hospital in the corpus filed a usable priceMNIllinois: median $3,476 across 10 hospitalsIL$3,476Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $4,373 across 11 hospitalsNY$4,373Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $4,350 across 10 hospitalsOR$4,350Nevada: 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 $5,951 across 13 hospitalsIA$5,951Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,542 across 16 hospitalsPA$1,542New Jersey: median $5,339 across 13 hospitalsNJ$5,339Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 6 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: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 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: no hospital in the corpus filed a usable priceNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $3,966 across 10 hospitalsOK$3,966Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 1 hospital filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,350. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Iowa IA13$5,951+37%$5,951 – $5,951
New Jersey NJ13$5,339+23%$4,350 – $6,311
New York NY11$4,373+1%$2,876 – $7,110
Oregon OR10$4,3500%$4,350 – $5,578
Oklahoma OK10$3,966−9%$3,966 – $3,966
Illinois IL10$3,476−20%$3,476 – $5,951
Pennsylvania PA16$1,542−65%$1,305 – $8,051
West Virginia WV9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
California CA6not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Florida FL1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Washington WA1not 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 $4,350.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care132$4,373$3,439 – $6,596
Children’s2fewer than 20 hospitals
Critical access21$3,795$2,711 – $5,578
Ownership
For-profit13fewer than 20 hospitals
Government10fewer than 20 hospitals
Non-profit132$4,350$3,108 – $6,182
System affiliation
Part of a system129$4,350$3,428 – $6,182
Independent26$5,079$3,194 – $7,110

Cash price vs list price

Median list price (chargemaster)$6,972
Median cash price$4,350
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

120 hospitals filed a usable inpatient cash price for this code. The median is $4,350 and the average of the middle 60% is $4,554; most fall between $3,108 and $6,437.

Cash price percentiles, inpatient, across 120 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
$2,156$3,476$4,350$5,951$9,741

The most expensive tenth of hospitals charges at least 4.5× what the cheapest tenth charges ($2,156 vs $9,741).

Of the 133 hospitals that filed this code inpatient, 120 gave a usable cash price; 10 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

155 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 182 hospitals that filed this code at all gave us
Usable cash price — counted155
Cash price carrying a plausibility flag — shown on the compare tool, excluded here24
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 code182

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 Aortobifemoral.

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, “Aorta to both groin arteries bypass using a vein graft (CPT 35540) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-35540-aorta-to-both-groin-arteries-bypass-using-a-vein-graft