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Procedure price report · Creation, revision and removal of arteriovenous fistula or vessel-to-vessel cannula for dialysis

Placement of an external dialysis shunt

CPT 36810the billing code this page is about

Surgical insertion of a cannula joining an artery and a vein with an external shunt loop for dialysis access; billed as a procedure in itself.

Hospitals typically charge $2,662 cash for this outpatient procedure — the median across 299 hospitals that filed a usable cash price; the average of the middle 60% is $2,483. Most fall between $385 and $4,862 (20th–80th percentile).

Hospitals
299
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 299 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
$242$411$2,662$4,767$9,110

The most expensive tenth of hospitals charges at least 38× what the cheapest tenth charges ($242 vs $9,110).

How the prices are spread

$202 – $300: 30 hospitals$202$300 – $445: 42 hospitals$445 – $661: 27 hospitals$445$661 – $981: 13 hospitals$981 – $1,455: 8 hospitals$981$1,455 – $2,159: 8 hospitals$2,159 – $3,204: 23 hospitals$2,159$3,204 – $4,754: 62 hospitals$4,754 – $7,054: 38 hospitals$4,754$7,054 – $10,466: 30 hospitals$7,054median $2,662price bands are equal on a log scale
Hospitals per price band (281 of 299 — the bands cover the 5th to 95th percentile)
FromToHospitals
$202$30030
$300$44542
$445$66127
$661$98113
$981$1,4558
$1,455$2,1598
$2,159$3,20423
$3,204$4,75462
$4,754$7,05438
$7,054$10,46630

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,226
Median cash price$2,662
Cash as a multiple of Medicare0.83×

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 $2,662.

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: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals 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: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: median $411 across 12 hospitalsIL$411Wisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: median $242 across 23 hospitalsMI$242New York: median $3,725 across 22 hospitalsNY$3,725Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 7 hospitals filed a usable price — fewer than 10, so no figureORNevada: 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 $533 across 15 hospitalsIA$533Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $2,430 across 15 hospitalsPA$2,430New Jersey: median $4,200 across 30 hospitalsNJ$4,200Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,862 across 41 hospitalsCA$4,862Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 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: 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: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $345 across 15 hospitalsOK$345Louisiana: median $2,803 across 10 hospitalsLA$2,803Mississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,648 across 19 hospitalsTX$3,648Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,662. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA41$4,862+83%$3,685 – $10,466
New Jersey NJ30$4,200+58%$3,487 – $5,419
New York NY22$3,725+40%$533 – $3,748
Texas TX19$3,648+37%$3,489 – $4,767
Louisiana LA10$2,803+5%$760 – $3,873
Pennsylvania PA15$2,430−9%$124 – $3,690
Iowa IA15$533−80%$533 – $533
Illinois IL12$411−85%$403 – $904
Oklahoma OK15$345−87%$345 – $2,085
Michigan MI23$242−91%$202 – $4,076
Missouri MO9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Oregon OR7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
Wisconsin WI1not 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 $2,662.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care262$3,068$411 – $4,862
Children’s7fewer than 20 hospitals
Critical access30$411$203 – $3,648
Ownership
For-profit29$1,851$411 – $5,127
Government31$2,662$385 – $3,725
Non-profit239$3,035$346 – $5,110
System affiliation
Part of a system264$2,803$393 – $4,862
Independent35$795$346 – $3,875

Cash price vs list price

Median list price (chargemaster)$1,527
Median cash price$2,662
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

179 hospitals filed a usable inpatient cash price for this code. The median is $2,280 and the average of the middle 60% is $2,372; most fall between $411 and $6,641.

Cash price percentiles, inpatient, across 179 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
$308$413$2,280$4,862$10,466

The most expensive tenth of hospitals charges at least 34× what the cheapest tenth charges ($308 vs $10,466).

Of the 192 hospitals that filed this code inpatient, 179 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

299 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 324 hospitals that filed this code at all gave us
Usable cash price — counted299
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
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 code324

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 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 Creation, revision and removal of arteriovenous fistula or vessel-to-vessel cannula for dialysis family.

Hospitals file this code under descriptions such as Insj Cannula Hemo Oth Purpose Spx Arven Xtrnl.

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, “Placement of an external dialysis shunt (CPT 36810) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36810-placement-of-an-external-dialysis-shunt