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

Dialysis fistula through the skin, two puncture sites

CPT 36837the billing code this page is about

A needle-and-catheter procedure using two separate skin punctures in the arm to join an artery to a nearby vein for hemodialysis access, without open surgery.

Hospitals typically charge $19,893 cash for this outpatient procedure — the median across 527 hospitals that filed a usable cash price; the average of the middle 60% is $20,233. Most fall between $10,532 and $35,524 (20th–80th percentile).

Hospitals
527
States
43
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 527 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
$5,793$12,375$19,893$29,289$43,760

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($5,793 vs $43,760).

How the prices are spread

$4,350 – $5,618: 23 hospitals$4,350$5,618 – $7,256: 22 hospitals$7,256 – $9,371: 26 hospitals$7,256$9,371 – $12,103: 32 hospitals$12,103 – $15,631: 58 hospitals$12,103$15,631 – $20,187: 80 hospitals$20,187 – $26,072: 107 hospitals$20,187$26,072 – $33,673: 36 hospitals$33,673 – $43,489: 64 hospitals$33,673$43,489 – $56,166: 27 hospitals$43,489median $19,893price bands are equal on a log scale
Hospitals per price band (475 of 527 — the bands cover the 5th to 95th percentile)
FromToHospitals
$4,350$5,61823
$5,618$7,25622
$7,256$9,37126
$9,371$12,10332
$12,103$15,63158
$15,631$20,18780
$20,187$26,072107
$26,072$33,67336
$33,673$43,48964
$43,489$56,16627

Against Medicare

Medicare pays (OPPS 2026, national rate)$18,729
Median cash price$19,893
Cash as a multiple of Medicare1.06×

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 $19,893.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: median $35,015 across 13 hospitalsWA$35,015Idaho: no hospital in the corpus filed a usable priceIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $15,614 across 21 hospitalsIL$15,614Wisconsin: median $18,365 across 12 hospitalsWI$18,365Michigan: median $25,207 across 16 hospitalsMI$25,207New York: median $21,249 across 21 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: no hospital in the corpus filed a usable priceSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $8,978 across 21 hospitalsIN$8,978Ohio: median $20,328 across 42 hospitalsOH$20,328Pennsylvania: median $36,964 across 41 hospitalsPA$36,964New Jersey: median $6,839 across 26 hospitalsNJ$6,839Connecticut: 4 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 46 hospitalsCA$28,033Utah: 4 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $14,748 across 12 hospitalsCO$14,748Nebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $14,901 across 23 hospitalsMO$14,901Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $3,393 across 11 hospitalsVA$3,393Maryland: 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: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $3,393 across 12 hospitalsTN$3,393North Carolina: median $23,513 across 14 hospitalsNC$23,513South Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $14,308 across 10 hospitalsOK$14,308Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $25,756 across 16 hospitalsGA$25,756Hawaii: no hospital in the corpus filed a usable priceHITexas: median $16,136 across 70 hospitalsTX$16,136Florida: median $36,812 across 20 hospitalsFL$36,812
Cash price by state, most expensive first. National median $19,893. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA41$36,964+86%$18,149 – $51,485
Florida FL20$36,812+85%$5,106 – $60,157
Washington WA13$35,015+76%$20,529 – $35,524
California CA46$28,033+41%$25,175 – $36,282
Georgia GA16$25,756+29%$25,756 – $41,226
Michigan MI16$25,207+27%$14,734 – $56,166
North Carolina NC14$23,513+18%$5,793 – $23,513
New York NY21$21,249+7%$20,978 – $21,759
Ohio OH42$20,328+2%$14,487 – $67,113
Wisconsin WI12$18,365−8%$15,575 – $23,370
Texas TX70$16,136−19%$7,748 – $19,034
Illinois IL21$15,614−22%$7,095 – $19,085
Missouri MO23$14,901−25%$12,375 – $19,294
Colorado CO12$14,748−26%$14,748 – $20,832
Oklahoma OK10$14,308−28%$8,788 – $23,641
Indiana IN21$8,978−55%$6,673 – $12,066
New Jersey NJ26$6,839−66%$4,881 – $21,147
Tennessee TN12$3,393−83%$3,393 – $3,393
Virginia VA11$3,393−83%$3,393 – $15,619
Minnesota MN8not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Utah UT4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
New Hampshire NH1not 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 $19,893.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care485$20,328$10,791 – $36,282
Children’s10fewer than 20 hospitals
Critical access28$8,978$3,329 – $20,333
Ownership
For-profit37$16,907$10,030 – $26,446
Government70$21,249$8,247 – $24,562
Non-profit416$19,876$10,746 – $36,282
System affiliation
Part of a system487$19,876$10,532 – $36,282
Independent40$20,832$10,274 – $28,958

Cash price vs list price

Median list price (chargemaster)$33,617
Median cash price$19,893
Cash as a share of list, median hospital53%

At the typical hospital, asking for the cash price cuts the list price by about 47%. 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

415 hospitals filed a usable inpatient cash price for this code. The median is $19,085 and the average of the middle 60% is $21,452; most fall between $10,791 and $36,282.

Cash price percentiles, inpatient, across 415 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
$5,793$12,475$19,085$32,595$51,485

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($5,793 vs $51,485).

Of the 465 hospitals that filed this code inpatient, 415 gave a usable cash price; 40 carried a plausibility flag, 2 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

527 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 594 hospitals that filed this code at all gave us
Usable cash price — counted527
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded3
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded15
Hospitals that filed this code594

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 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 Perq Av Fistula Creation Uxtr Sep Access Sites.

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 through the skin, two puncture sites (CPT 36837) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36837-dialysis-fistula-through-the-skin-two-puncture-sites