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

Add-on: bypass graft combining synthetic material and vein

CPT 35681the billing code this page is about

Additional charge, billed alongside the main bypass operation, for building the graft from both a synthetic segment and a segment of the patient's own vein.

Hospitals typically charge $239 cash for this outpatient procedure — the median across 234 hospitals that filed a usable cash price; the average of the middle 60% is $363. Most fall between $130 and $1,150 (20th–80th percentile).

Hospitals
234
States
40
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 234 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
$88$135$239$935$2,150

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($88 vs $2,150).

How the prices are spread

$53 – $83: 9 hospitals$53$83 – $132: 36 hospitals$132 – $210: 56 hospitals$132$210 – $333: 18 hospitals$333 – $529: 24 hospitals$333$529 – $841: 20 hospitals$841 – $1,334: 24 hospitals$841$1,334 – $2,118: 2 hospitals$2,118 – $3,363: 14 hospitals$2,118$3,363 – $5,339: 9 hospitals$3,363median $239price bands are equal on a log scale
Hospitals per price band (212 of 234 — the bands cover the 5th to 95th percentile)
FromToHospitals
$53$839
$83$13236
$132$21056
$210$33318
$333$52924
$529$84120
$841$1,33424
$1,334$2,1182
$2,118$3,36314
$3,363$5,3399

By state

The median cash price in each state, against the national median of $239.

Alaska: 2 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: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $163 across 12 hospitalsIL$163Wisconsin: median $576 across 18 hospitalsWI$576Michigan: median $576 across 27 hospitalsMI$576New York: 8 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: median $182 across 12 hospitalsOR$182Nevada: 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 $206 across 15 hospitalsIA$206Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $416 across 11 hospitalsOH$416Pennsylvania: median $57 across 15 hospitalsPA$57New Jersey: median $5,110 across 13 hospitalsNJ$5,110Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 5 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: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 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: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew 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: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $130 across 10 hospitalsOK$130Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,268 across 11 hospitalsGA$1,268Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $239. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ13$5,110+2035%$3,986 – $5,855
Georgia GA11$1,268+429%$1,268 – $1,268
Michigan MI27$576+141%$111 – $2,150
Wisconsin WI18$576+141%$576 – $938
Ohio OH11$416+74%$356 – $1,150
Iowa IA15$206−14%$206 – $206
Oregon OR12$182−24%$141 – $182
Illinois IL12$163−32%$144 – $445
Oklahoma OK10$130−46%$130 – $130
Pennsylvania PA15$57−76%$48 – $1,042
New York NY8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Nebraska NE3not 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
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Montana MT2not 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
Connecticut CT1not 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
North Carolina NC1not 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 $239.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care185$239$130 – $1,268
Children’s5fewer than 20 hospitals
Critical access44$262$126 – $576
Ownership
For-profit19fewer than 20 hospitals
Government23$171$138 – $970
Non-profit192$206$112 – $1,150
System affiliation
Part of a system191$262$130 – $1,268
Independent43$170$119 – $799

Cash price vs list price

Median list price (chargemaster)$264
Median cash price$239
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

160 hospitals filed a usable inpatient cash price for this code. The median is $232 and the average of the middle 60% is $303; most fall between $130 and $799.

Cash price percentiles, inpatient, across 160 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
$81$130$232$576$1,268

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($81 vs $1,268).

Of the 176 hospitals that filed this code inpatient, 160 gave a usable cash price; 15 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

234 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 — counted234
Cash price carrying a plausibility flag — shown on the compare tool, excluded here33
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 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 Bypass Composite Graft Prosthetic & Vein.

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, “Add-on: bypass graft combining synthetic material and vein (CPT 35681) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-35681-add-on-bypass-graft-combining-synthetic-material-and-vein