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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 a forearm vein

CPT 36820the billing code this page is about

Open surgery that moves a forearm vein and joins it to an artery, creating a fistula for dialysis access.

Hospitals typically charge $4,627 cash for this outpatient procedure — the median across 395 hospitals that filed a usable cash price; the average of the middle 60% is $4,413. Most fall between $1,256 and $9,842 (20th–80th percentile).

Hospitals
395
States
44
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 395 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
$901$1,327$4,627$7,651$15,670

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($901 vs $15,670).

How the prices are spread

$673 – $928: 23 hospitals$673$928 – $1,278: 41 hospitals$1,278 – $1,760: 53 hospitals$1,278$1,760 – $2,425: 30 hospitals$2,425 – $3,340: 13 hospitals$2,425$3,340 – $4,602: 18 hospitals$4,602 – $6,339: 48 hospitals$4,602$6,339 – $8,732: 61 hospitals$8,732 – $12,029: 40 hospitals$8,732$12,029 – $16,570: 35 hospitals$12,029median $4,627price bands are equal on a log scale
Hospitals per price band (362 of 395 — the bands cover the 5th to 95th percentile)
FromToHospitals
$673$92823
$928$1,27841
$1,278$1,76053
$1,760$2,42530
$2,425$3,34013
$3,340$4,60218
$4,602$6,33948
$6,339$8,73261
$8,732$12,02940
$12,029$16,57035

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,685
Median cash price$4,627
Cash as a multiple of Medicare0.81×

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 $4,627.

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: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,349 across 14 hospitalsIL$1,349Wisconsin: median $7,572 across 15 hospitalsWI$7,572Michigan: median $1,607 across 26 hospitalsMI$1,607New York: median $6,397 across 33 hospitalsNY$6,397Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,305 across 11 hospitalsOR$1,305Nevada: 2 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 $1,782 across 15 hospitalsIA$1,782Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $5,992 across 26 hospitalsPA$5,992New Jersey: median $5,983 across 31 hospitalsNJ$5,983Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $16,570 across 43 hospitalsCA$16,570Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $794 across 10 hospitalsWV$794Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,176 across 12 hospitalsOK$1,176Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $6,098 across 22 hospitalsTX$6,098Florida: median $5,472 across 13 hospitalsFL$5,472
Cash price by state, most expensive first. National median $4,627. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA43$16,570+258%$10,566 – $16,570
Wisconsin WI15$7,572+64%$7,572 – $7,572
New York NY33$6,397+38%$1,414 – $6,946
Texas TX22$6,098+32%$6,098 – $6,450
Pennsylvania PA26$5,992+29%$462 – $9,842
New Jersey NJ31$5,983+29%$5,110 – $6,793
Florida FL13$5,472+18%$5,426 – $15,670
Iowa IA15$1,782−61%$1,782 – $1,782
Michigan MI26$1,607−65%$1,256 – $7,572
Illinois IL14$1,349−71%$1,143 – $10,273
Oregon OR11$1,305−72%$1,305 – $1,305
Oklahoma OK12$1,176−75%$1,176 – $1,176
West Virginia WV10$794−83%$776 – $9,492
Louisiana LA9not enough hospitals filed a usable price
Ohio OH9not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $4,627.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care337$5,472$1,305 – $10,566
Children’s7fewer than 20 hospitals
Critical access51$1,449$824 – $7,572
Ownership
For-profit34$5,844$1,143 – $11,239
Government54$2,738$1,373 – $6,397
Non-profit307$4,627$1,246 – $10,566
System affiliation
Part of a system318$5,741$1,256 – $10,566
Independent77$2,182$1,271 – $6,453

Cash price vs list price

Median list price (chargemaster)$3,265
Median cash price$4,627
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

236 hospitals filed a usable inpatient cash price for this code. The median is $2,643 and the average of the middle 60% is $4,555; most fall between $1,176 and $10,566.

Cash price percentiles, inpatient, across 236 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
$824$1,233$2,643$9,455$15,670

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($824 vs $15,670).

Of the 263 hospitals that filed this code inpatient, 236 gave a usable cash price; 18 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

395 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 442 hospitals that filed this code at all gave us
Usable cash price — counted395
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
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 — excluded7
Hospitals that filed this code442

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,Forearm Vein Transposition.

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 a forearm vein (CPT 36820) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36820-dialysis-fistula-made-with-a-forearm-vein