HRHospitalRates.comCompare prices

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

Dialysis fistula created through the skin, one puncture

CPT 36836the billing code this page is about

A needle-and-catheter procedure done through a single skin puncture in the arm that joins an artery to a nearby vein to create hemodialysis access, without open surgery.

Hospitals typically charge $19,277 cash for this outpatient procedure — the median across 599 hospitals that filed a usable cash price; the average of the middle 60% is $19,960. Most fall between $9,644 and $34,222 (20th–80th percentile).

Hospitals
599
States
44
Filings dated
Jun 2025 – 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 599 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
$4,627$12,375$19,277$28,244$41,226

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($4,627 vs $41,226).

How the prices are spread

$3,329 – $4,447: 29 hospitals$3,329$4,447 – $5,940: 20 hospitals$5,940 – $7,933: 25 hospitals$5,940$7,933 – $10,596: 26 hospitals$10,596 – $14,152: 59 hospitals$10,596$14,152 – $18,903: 104 hospitals$18,903 – $25,247: 117 hospitals$18,903$25,247 – $33,721: 70 hospitals$33,721 – $45,039: 69 hospitals$33,721$45,039 – $60,157: 24 hospitals$45,039median $19,277price bands are equal on a log scale
Hospitals per price band (543 of 599 — the bands cover the 5th to 95th percentile)
FromToHospitals
$3,329$4,44729
$4,447$5,94020
$5,940$7,93325
$7,933$10,59626
$10,596$14,15259
$14,152$18,903104
$18,903$25,247117
$25,247$33,72170
$33,721$45,03969
$45,039$60,15724

Against Medicare

Medicare pays (OPPS 2026, national rate)$18,729
Median cash price$19,277
Cash as a multiple of Medicare1.03×

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 $19,277.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: median $35,524 across 14 hospitalsWA$35,524Idaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $28,037 across 17 hospitalsMN$28,037Illinois: median $15,405 across 25 hospitalsIL$15,405Wisconsin: median $15,740 across 34 hospitalsWI$15,740Michigan: median $7,860 across 22 hospitalsMI$7,860New York: median $21,249 across 28 hospitalsNY$21,249Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 5 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: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $17,934 across 12 hospitalsIA$17,934Indiana: median $8,978 across 21 hospitalsIN$8,978Ohio: median $30,001 across 31 hospitalsOH$30,001Pennsylvania: median $33,251 across 38 hospitalsPA$33,251New Jersey: median $19,876 across 32 hospitalsNJ$19,876Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $28,033 across 51 hospitalsCA$28,033Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $14,748 across 16 hospitalsCO$14,748Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $14,972 across 19 hospitalsMO$14,972Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $18,743 across 21 hospitalsVA$18,743Maryland: no hospital in the corpus filed a usable priceMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $3,393 across 13 hospitalsTN$3,393North Carolina: median $23,513 across 13 hospitalsNC$23,513South Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 5 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $17,769 across 11 hospitalsMS$17,769Alabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $25,756 across 18 hospitalsGA$25,756Hawaii: no hospital in the corpus filed a usable priceHITexas: median $17,010 across 63 hospitalsTX$17,010Florida: median $36,812 across 23 hospitalsFL$36,812
Cash price by state, most expensive first. National median $19,277. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL23$36,812+91%$5,106 – $60,157
Washington WA14$35,524+84%$26,565 – $37,107
Pennsylvania PA38$33,251+72%$14,000 – $51,485
Ohio OH31$30,001+56%$12,982 – $67,113
Minnesota MN17$28,037+45%$17,722 – $28,037
California CA51$28,033+45%$22,998 – $36,282
Georgia GA18$25,756+34%$25,756 – $41,226
North Carolina NC13$23,513+22%$23,513 – $23,513
New York NY28$21,249+10%$13,250 – $22,883
New Jersey NJ32$19,876+3%$5,110 – $22,857
Virginia VA21$18,743−3%$3,393 – $21,340
Iowa IA12$17,934−7%$17,934 – $17,934
Mississippi MS11$17,769−8%$11,535 – $17,769
Texas TX63$17,010−12%$17,010 – $21,321
Wisconsin WI34$15,740−18%$2,323 – $31,049
Illinois IL25$15,405−20%$4,985 – $21,304
Missouri MO19$14,972−22%$12,375 – $15,614
Colorado CO16$14,748−23%$14,748 – $32,970
Indiana IN21$8,978−53%$6,673 – $12,066
Michigan MI22$7,860−59%$7,860 – $25,207
Tennessee TN13$3,393−82%$3,393 – $4,029
Nebraska NE8not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Oklahoma OK5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Vermont VT1not 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 $19,277.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care534$19,876$11,027 – $35,524
Children’s10fewer than 20 hospitals
Critical access51$12,066$2,775 – $28,037
Ownership
For-profit42$17,861$10,030 – $40,376
Government67$20,832$9,149 – $23,641
Non-profit486$19,277$10,371 – $35,524
System affiliation
Part of a system547$19,277$10,371 – $35,015
Independent52$17,842$6,767 – $31,910

Cash price vs list price

Median list price (chargemaster)$32,970
Median cash price$19,277
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

452 hospitals filed a usable inpatient cash price for this code. The median is $19,034 and the average of the middle 60% is $20,455; most fall between $11,027 and $35,524.

Cash price percentiles, inpatient, across 452 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
$3,659$12,982$19,034$30,001$43,760

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($3,659 vs $43,760).

Of the 507 hospitals that filed this code inpatient, 452 gave a usable cash price; 43 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

599 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 677 hospitals that filed this code at all gave us
Usable cash price — counted599
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
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 — excluded20
Hospitals that filed this code677

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 Perq Av Fistula Creation Uxtr Single Access.

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 created through the skin, one puncture (CPT 36836) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36836-dialysis-fistula-created-through-the-skin-one-puncture