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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 basilic vein

CPT 36819the billing code this page is about

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

Hospitals typically charge $5,983 cash for this outpatient procedure — the median across 579 hospitals that filed a usable cash price; the average of the middle 60% is $6,025. Most fall between $1,512 and $12,563 (20th–80th percentile).

Hospitals
579
States
45
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 579 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
$1,143$1,802$5,983$11,567$18,557

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($1,143 vs $18,557).

How the prices are spread

$742 – $1,053: 24 hospitals$742$1,053 – $1,493: 55 hospitals$1,493 – $2,118: 60 hospitals$1,493$2,118 – $3,005: 27 hospitals$3,005 – $4,262: 40 hospitals$3,005$4,262 – $6,046: 58 hospitals$6,046 – $8,577: 88 hospitals$6,046$8,577 – $12,166: 64 hospitals$12,166 – $17,258: 70 hospitals$12,166$17,258 – $24,480: 37 hospitals$17,258median $5,983price bands are equal on a log scale
Hospitals per price band (523 of 579 — the bands cover the 5th to 95th percentile)
FromToHospitals
$742$1,05324
$1,053$1,49355
$1,493$2,11860
$2,118$3,00527
$3,005$4,26240
$4,262$6,04658
$6,046$8,57788
$8,577$12,16664
$12,166$17,25870
$17,258$24,48037

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,685
Median cash price$5,983
Cash as a multiple of Medicare1.05×

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 $5,983.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 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 $8,869 across 10 hospitalsWA$8,869Idaho: median $12,563 across 10 hospitalsID$12,563Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $4,935 across 16 hospitalsMN$4,935Illinois: median $2,790 across 21 hospitalsIL$2,790Wisconsin: median $4,446 across 27 hospitalsWI$4,446Michigan: median $2,039 across 30 hospitalsMI$2,039New York: median $6,946 across 53 hospitalsNY$6,946Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,314 across 15 hospitalsOR$1,314Nevada: 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 $1,786 across 17 hospitalsIA$1,786Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $20,204 across 30 hospitalsOH$20,204Pennsylvania: median $987 across 24 hospitalsPA$987New Jersey: median $5,989 across 34 hospitalsNJ$5,989Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $15,529 across 47 hospitalsCA$15,529Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $1,323 across 14 hospitalsMO$1,323Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,379 across 16 hospitalsWV$1,379Virginia: median $15,356 across 11 hospitalsVA$15,356Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 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: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $3,174 across 10 hospitalsAR$3,174Tennessee: median $1,945 across 11 hospitalsTN$1,945North Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,512 across 17 hospitalsOK$1,512Louisiana: median $4,420 across 15 hospitalsLA$4,420Mississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $11,689 across 11 hospitalsGA$11,689Hawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $7,740 across 32 hospitalsTX$7,740Florida: median $14,247 across 18 hospitalsFL$14,247
Cash price by state, most expensive first. National median $5,983. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH30$20,204+238%$3,256 – $20,204
California CA47$15,529+160%$12,480 – $15,529
Virginia VA11$15,356+157%$483 – $20,379
Florida FL18$14,247+138%$9,623 – $25,255
Idaho ID10$12,563+110%$5,193 – $12,563
Georgia GA11$11,689+95%$3,831 – $11,689
Washington WA10$8,869+48%$1,303 – $14,980
Texas TX32$7,740+29%$5,562 – $9,143
New York NY53$6,946+16%$2,153 – $9,188
New Jersey NJ34$5,9890%$5,110 – $7,213
Minnesota MN16$4,935−18%$4,169 – $5,525
Wisconsin WI27$4,446−26%$3,850 – $6,716
Louisiana LA15$4,420−26%$2,559 – $4,829
Arkansas AR10$3,174−47%$1,694 – $6,603
Illinois IL21$2,790−53%$1,143 – $13,460
Michigan MI30$2,039−66%$2,006 – $7,651
Tennessee TN11$1,945−67%$894 – $6,957
Iowa IA17$1,786−70%$1,786 – $1,802
Oklahoma OK17$1,512−75%$1,512 – $8,760
West Virginia WV16$1,379−77%$796 – $7,833
Missouri MO14$1,323−78%$1,105 – $15,274
Oregon OR15$1,314−78%$1,303 – $1,786
Pennsylvania PA24$987−84%$448 – $9,139
Indiana IN8not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Connecticut CT3not 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
Vermont VT3not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Wyoming WY2not 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 $5,983.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care496$6,397$1,694 – $13,478
Children’s4fewer than 20 hospitals
Critical access77$3,146$1,273 – $6,188
Ownership
For-profit48$7,740$1,512 – $13,371
Government79$5,028$1,508 – $9,623
Non-profit450$5,983$1,512 – $12,710
System affiliation
Part of a system469$6,397$1,778 – $12,826
Independent110$2,812$1,278 – $9,278

Cash price vs list price

Median list price (chargemaster)$7,184
Median cash price$5,983
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

295 hospitals filed a usable inpatient cash price for this code. The median is $3,831 and the average of the middle 60% is $5,031; most fall between $1,276 and $12,480.

Cash price percentiles, inpatient, across 295 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
$837$1,414$3,831$11,058$15,529

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($837 vs $15,529).

Of the 323 hospitals that filed this code inpatient, 295 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 11 a list price only.

How complete is this

579 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 637 hospitals that filed this code at all gave us
Usable cash price — counted579
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded11
Hospitals that filed this code637

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 Arven Anast Opn Upr Arm Basilic Vein Trpos.

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 basilic vein (CPT 36819) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36819-dialysis-fistula-made-with-upper-arm-basilic-vein