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Procedure price report · Other vascular catheterization, not heart

Catheter angiogram of vertebral and brain arteries, one side

CPT 36226the billing code this page is about

Threading a catheter into the vertebral artery on one side and injecting dye to X-ray the neck and brain circulation on that side; includes the imaging work.

Hospitals typically charge $7,492 cash for this outpatient procedure — the median across 1,714 hospitals that filed a usable cash price; the average of the middle 60% is $7,883. Most fall between $4,138 and $13,325 (20th–80th percentile).

Hospitals
1,714
States
50
Filings dated
Feb 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 1,714 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
$2,662$4,881$7,492$11,253$19,139

The most expensive tenth of hospitals charges at least 7.2× what the cheapest tenth charges ($2,662 vs $19,139).

How the prices are spread

$1,741 – $2,266: 51 hospitals$1,741$2,266 – $2,950: 76 hospitals$2,950 – $3,840: 97 hospitals$2,950$3,840 – $4,998: 127 hospitals$4,998 – $6,506: 265 hospitals$4,998$6,506 – $8,468: 261 hospitals$8,468 – $11,023: 306 hospitals$8,468$11,023 – $14,348: 133 hospitals$14,348 – $18,677: 135 hospitals$14,348$18,677 – $24,311: 93 hospitals$18,677median $7,492price bands are equal on a log scale
Hospitals per price band (1,544 of 1,714 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,741$2,26651
$2,266$2,95076
$2,950$3,84097
$3,840$4,998127
$4,998$6,506265
$6,506$8,468261
$8,468$11,023306
$11,023$14,348133
$14,348$18,677135
$18,677$24,31193

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,685
Median cash price$7,492
Cash as a multiple of Medicare1.32×

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 $7,492.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $9,320 across 33 hospitalsWA$9,320Idaho: median $10,914 across 13 hospitalsID$10,914Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $6,706 across 24 hospitalsMN$6,706Illinois: median $7,401 across 74 hospitalsIL$7,401Wisconsin: median $7,377 across 53 hospitalsWI$7,377Michigan: median $7,749 across 63 hospitalsMI$7,749New York: median $9,188 across 66 hospitalsNY$9,188Massachusetts: median $9,903 across 20 hospitalsMA$9,903Oregon: median $7,981 across 29 hospitalsOR$7,981Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $10,702 across 10 hospitalsSD$10,702Iowa: median $7,670 across 18 hospitalsIA$7,670Indiana: median $5,986 across 49 hospitalsIN$5,986Ohio: median $7,428 across 98 hospitalsOH$7,428Pennsylvania: median $10,186 across 79 hospitalsPA$10,186New Jersey: median $6,311 across 52 hospitalsNJ$6,311Connecticut: median $8,937 across 12 hospitalsCT$8,937Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $10,488 across 140 hospitalsCA$10,488Utah: median $6,217 across 26 hospitalsUT$6,217Colorado: median $7,354 across 34 hospitalsCO$7,354Nebraska: median $5,018 across 18 hospitalsNE$5,018Missouri: median $6,409 across 43 hospitalsMO$6,409Kentucky: median $7,496 across 32 hospitalsKY$7,496West Virginia: median $4,601 across 12 hospitalsWV$4,601Virginia: median $8,070 across 33 hospitalsVA$8,070Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $5,788 across 33 hospitalsAZ$5,788New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $5,242 across 18 hospitalsKS$5,242Arkansas: median $3,856 across 15 hospitalsAR$3,856Tennessee: median $2,771 across 40 hospitalsTN$2,771North Carolina: median $4,537 across 40 hospitalsNC$4,537South Carolina: median $9,282 across 34 hospitalsSC$9,282Oklahoma: median $4,308 across 34 hospitalsOK$4,308Louisiana: median $5,379 across 33 hospitalsLA$5,379Mississippi: median $3,588 across 26 hospitalsMS$3,588Alabama: median $6,886 across 28 hospitalsAL$6,886Georgia: median $8,654 across 64 hospitalsGA$8,654Hawaii: median $4,788 across 10 hospitalsHI$4,788Texas: median $8,796 across 158 hospitalsTX$8,796Florida: median $9,397 across 92 hospitalsFL$9,397
Cash price by state, most expensive first. National median $7,492. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID13$10,914+46%$6,984 – $12,563
South Dakota SD10$10,702+43%$10,416 – $10,702
California CA140$10,488+40%$6,394 – $19,671
Pennsylvania PA79$10,186+36%$6,326 – $25,393
Massachusetts MA20$9,903+32%$6,743 – $12,170
Florida FL92$9,397+25%$5,071 – $20,642
Washington WA33$9,320+24%$5,887 – $14,686
South Carolina SC34$9,282+24%$5,872 – $10,592
New York NY66$9,188+23%$5,685 – $12,710
Connecticut CT12$8,937+19%$6,362 – $14,583
Texas TX158$8,796+17%$5,446 – $13,482
Georgia GA64$8,654+16%$4,603 – $10,763
Virginia VA33$8,070+8%$7,087 – $15,544
Oregon OR29$7,981+7%$4,680 – $11,951
Michigan MI63$7,749+3%$666 – $13,486
Iowa IA18$7,670+2%$4,736 – $9,242
Kentucky KY32$7,4960%$2,471 – $80,598
Ohio OH98$7,428−1%$3,977 – $11,564
Illinois IL74$7,401−1%$3,431 – $13,574
Wisconsin WI53$7,377−2%$4,101 – $11,253
Colorado CO34$7,354−2%$5,552 – $15,334
Alabama AL28$6,886−8%$4,705 – $18,000
Minnesota MN24$6,706−10%$5,874 – $13,660
Missouri MO43$6,409−14%$3,532 – $9,274
New Jersey NJ52$6,311−16%$4,627 – $7,333
Utah UT26$6,217−17%$6,217 – $7,314
Indiana IN49$5,986−20%$4,832 – $9,661
Arizona AZ33$5,788−23%$2,769 – $22,492
Louisiana LA33$5,379−28%$3,628 – $10,118
Kansas KS18$5,242−30%$3,112 – $9,322
Nebraska NE18$5,018−33%$3,298 – $6,722
Hawaii HI10$4,788−36%$2,664 – $6,793
West Virginia WV12$4,601−39%$1,021 – $5,070
North Carolina NC40$4,537−39%$3,335 – $7,403
Oklahoma OK34$4,308−42%$2,662 – $10,138
Arkansas AR15$3,856−49%$940 – $4,800
Mississippi MS26$3,588−52%$1,967 – $4,870
Tennessee TN40$2,771−63%$2,528 – $6,736
Nevada NV9not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Vermont VT1not 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 $7,492.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,542$7,403$4,320 – $13,486
Children’s47$8,231$3,657 – $15,371
Critical access116$7,496$2,528 – $11,253
Ownership
For-profit215$8,690$4,705 – $19,671
Government206$5,872$3,208 – $10,235
Non-profit1,284$7,651$4,320 – $13,048
System affiliation
Part of a system1,496$7,685$4,278 – $13,482
Independent218$7,000$3,464 – $12,170

Cash price vs list price

Median list price (chargemaster)$14,350
Median cash price$7,492
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

1,291 hospitals filed a usable inpatient cash price for this code. The median is $8,300 and the average of the middle 60% is $8,364; most fall between $4,385 and $13,549.

Cash price percentiles, inpatient, across 1,291 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
$2,664$5,141$8,300$11,951$18,700

The most expensive tenth of hospitals charges at least 7.0× what the cheapest tenth charges ($2,664 vs $18,700).

Of the 1,393 hospitals that filed this code inpatient, 1,291 gave a usable cash price; 46 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 55 a list price only.

How complete is this

1,714 of the 3,956 hospitals with a price file in our corpus (43%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,857 hospitals that filed this code at all gave us
Usable cash price — counted1,714
Cash price carrying a plausibility flag — shown on the compare tool, excluded here76
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded63
Hospitals that filed this code1,857

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 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 Other vascular catheterization, not heart family.

Hospitals file this code under descriptions such as Slctv Cath Vertebral Art Angio Vertebral Artery.

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, “Catheter angiogram of vertebral and brain arteries, one side (CPT 36226) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36226-catheter-angiogram-of-vertebral-and-brain-arteries-one-side