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

Dialysis fistula made with upper arm cephalic vein

CPT 36818the billing code this page is about

Open surgery that moves the cephalic vein in the upper arm and joins it to an artery, creating a fistula for dialysis access.

Hospitals typically charge $5,426 cash for this outpatient procedure — the median across 532 hospitals that filed a usable cash price; the average of the middle 60% is $5,163. Most fall between $1,307 and $10,010 (20th–80th percentile).

Hospitals
532
States
46
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 532 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
$908$1,428$5,426$9,188$11,972

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($908 vs $11,972).

How the prices are spread

$694 – $961: 34 hospitals$694$961 – $1,331: 55 hospitals$1,331 – $1,842: 57 hospitals$1,331$1,842 – $2,550: 17 hospitals$2,550 – $3,530: 25 hospitals$2,550$3,530 – $4,887: 26 hospitals$4,887 – $6,765: 86 hospitals$4,887$6,765 – $9,365: 80 hospitals$9,365 – $12,964: 81 hospitals$9,365$12,964 – $17,947: 19 hospitals$12,964median $5,426price bands are equal on a log scale
Hospitals per price band (480 of 532 — the bands cover the 5th to 95th percentile)
FromToHospitals
$694$96134
$961$1,33155
$1,331$1,84257
$1,842$2,55017
$2,550$3,53025
$3,530$4,88726
$4,887$6,76586
$6,765$9,36580
$9,365$12,96481
$12,964$17,94719

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,685
Median cash price$5,426
Cash as a multiple of Medicare0.95×

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 $5,426.

Alaska: 3 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: median $1,451 across 10 hospitalsWA$1,451Idaho: median $12,563 across 10 hospitalsID$12,563Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,292 across 18 hospitalsIL$1,292Wisconsin: median $5,060 across 28 hospitalsWI$5,060Michigan: median $1,307 across 28 hospitalsMI$1,307New York: median $6,946 across 54 hospitalsNY$6,946Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,232 across 10 hospitalsOR$1,232Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,690 across 18 hospitalsIA$1,690Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,399 across 20 hospitalsOH$1,399Pennsylvania: median $5,786 across 28 hospitalsPA$5,786New Jersey: median $5,989 across 33 hospitalsNJ$5,989Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $11,822 across 47 hospitalsCA$11,822Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,799 across 11 hospitalsMO$1,799Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,203 across 16 hospitalsWV$1,203Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,428 across 12 hospitalsOK$1,428Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $8,377 across 13 hospitalsGA$8,377Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $7,740 across 30 hospitalsTX$7,740Florida: median $7,689 across 16 hospitalsFL$7,689
Cash price by state, most expensive first. National median $5,426. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID10$12,563+132%$4,250 – $12,563
California CA47$11,822+118%$9,881 – $11,822
Georgia GA13$8,377+54%$3,149 – $11,689
Texas TX30$7,740+43%$5,562 – $8,928
Florida FL16$7,689+42%$5,238 – $14,247
New York NY54$6,946+28%$2,031 – $9,247
New Jersey NJ33$5,989+10%$5,110 – $7,213
Pennsylvania PA28$5,786+7%$436 – $9,842
Wisconsin WI28$5,060−7%$5,060 – $10,326
Missouri MO11$1,799−67%$1,127 – $6,209
Iowa IA18$1,690−69%$1,690 – $1,710
Washington WA10$1,451−73%$1,224 – $10,906
Oklahoma OK12$1,428−74%$1,428 – $1,428
Ohio OH20$1,399−74%$774 – $5,983
Michigan MI28$1,307−76%$1,307 – $5,519
Illinois IL18$1,292−76%$908 – $25,422
Oregon OR10$1,232−77%$1,232 – $10,946
West Virginia WV16$1,203−78%$752 – $7,355
Arkansas AR9not enough hospitals filed a usable price
Indiana IN9not enough hospitals filed a usable price
Minnesota MN9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
North Dakota ND1not 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 $5,426.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care455$5,908$1,335 – $10,192
Children’s5fewer than 20 hospitals
Critical access70$1,690$1,095 – $7,519
Ownership
For-profit51$5,844$1,399 – $10,292
Government75$3,394$1,455 – $7,689
Non-profit404$5,553$1,307 – $10,247
System affiliation
Part of a system420$5,989$1,307 – $10,292
Independent112$2,315$1,209 – $6,939

Cash price vs list price

Median list price (chargemaster)$6,648
Median cash price$5,426
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

290 hospitals filed a usable inpatient cash price for this code. The median is $2,770 and the average of the middle 60% is $4,218; most fall between $1,134 and $10,010.

Cash price percentiles, inpatient, across 290 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
$765$1,292$2,770$9,247$11,822

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($765 vs $11,822).

Of the 320 hospitals that filed this code inpatient, 290 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

532 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 593 hospitals that filed this code at all gave us
Usable cash price — counted532
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded11
Hospitals that filed this code593

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

Hospitals file this code under descriptions such as PR Av Anast,Up Arm Cephalic Vein Transposit.

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, “Dialysis fistula made with upper arm cephalic vein (CPT 36818) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36818-dialysis-fistula-made-with-upper-arm-cephalic-vein