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Procedure price report · Peripheral vascular bypass

Armpit-to-groin artery bypass with a synthetic graft

CPT 35621the billing code this page is about

Open surgery that carries blood from the axillary artery in the armpit to the femoral artery in the groin using a graft made of material other than the patient's own vein.

Hospitals typically charge $2,218 cash for this outpatient procedure — the median across 232 hospitals that filed a usable cash price; the average of the middle 60% is $2,560. Most fall between $1,365 and $5,468 (20th–80th percentile).

Hospitals
232
States
37
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 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 232 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
$1,094$1,549$2,218$4,267$5,753

The most expensive tenth of hospitals charges at least 5.3× what the cheapest tenth charges ($1,094 vs $5,753).

How the prices are spread

$721 – $925: 4 hospitals$721$925 – $1,187: 14 hospitals$1,187 – $1,523: 24 hospitals$1,187$1,523 – $1,954: 53 hospitals$1,954 – $2,507: 17 hospitals$1,954$2,507 – $3,216: 30 hospitals$3,216 – $4,126: 18 hospitals$3,216$4,126 – $5,293: 10 hospitals$5,293 – $6,791: 32 hospitals$5,293$6,791 – $8,712: 9 hospitals$6,791median $2,218price bands are equal on a log scale
Hospitals per price band (211 of 232 — the bands cover the 5th to 95th percentile)
FromToHospitals
$721$9254
$925$1,18714
$1,187$1,52324
$1,523$1,95453
$1,954$2,50717
$2,507$3,21630
$3,216$4,12618
$4,126$5,29310
$5,293$6,79132
$6,791$8,7129

By state

The median cash price in each state, against the national median of $2,218.

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: 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: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,868 across 13 hospitalsIL$1,868Wisconsin: median $5,744 across 18 hospitalsWI$5,744Michigan: median $1,525 across 27 hospitalsMI$1,525New York: median $1,549 across 13 hospitalsNY$1,549Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $2,517 across 12 hospitalsOR$2,517Nevada: 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 $2,676 across 14 hospitalsIA$2,676Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,837 across 11 hospitalsOH$2,837Pennsylvania: median $320 across 16 hospitalsPA$320New Jersey: median $5,110 across 13 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: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 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: 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: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $1,777 across 11 hospitalsOK$1,777Louisiana: 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: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: 3 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 $2,218. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI18$5,744+159%$5,744 – $8,712
New Jersey NJ13$5,110+130%$3,986 – $5,855
Ohio OH11$2,837+28%$1,755 – $5,468
Iowa IA14$2,676+21%$2,676 – $2,676
Oregon OR12$2,517+13%$1,951 – $2,517
Illinois IL13$1,868−16%$1,846 – $4,267
Oklahoma OK11$1,777−20%$1,777 – $1,777
New York NY13$1,549−30%$1,138 – $3,185
Michigan MI27$1,525−31%$1,365 – $3,453
Pennsylvania PA16$320−86%$273 – $3,217
Minnesota MN8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
California CA7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
North Carolina NC2not 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
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not 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
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 $2,218.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care187$2,218$1,380 – $5,265
Children’s2fewer than 20 hospitals
Critical access42$2,131$1,326 – $5,744
Ownership
For-profit15fewer than 20 hospitals
Government23$2,267$1,263 – $4,207
Non-profit193$2,226$1,365 – $5,468
System affiliation
Part of a system191$2,218$1,365 – $5,468
Independent41$2,226$1,500 – $3,648

Cash price vs list price

Median list price (chargemaster)$3,345
Median cash price$2,218
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

167 hospitals filed a usable inpatient cash price for this code. The median is $2,138 and the average of the middle 60% is $2,300; most fall between $1,499 and $3,764.

Cash price percentiles, inpatient, across 167 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
$965$1,662$2,138$3,387$5,744

The most expensive tenth of hospitals charges at least 6.0× what the cheapest tenth charges ($965 vs $5,744).

Of the 185 hospitals that filed this code inpatient, 167 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 1 a list price only.

How complete is this

232 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 269 hospitals that filed this code at all gave us
Usable cash price — counted232
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded1
Hospitals that filed this code269

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 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 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 PR Bypass Graft Othr,Axill-Fem.

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, “Armpit-to-groin artery bypass with a synthetic graft (CPT 35621) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-35621-armpit-to-groin-artery-bypass-with-a-synthetic-graft