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

Blood flow repair of arm artery near a dialysis access

CPT 36838the billing code this page is about

Open surgery that reroutes arm artery blood flow and ties off the artery beyond a dialysis access site to relieve reduced circulation to the hand.

Hospitals typically charge $5,366 cash for this outpatient procedure — the median across 367 hospitals that filed a usable cash price; the average of the middle 60% is $5,012. Most fall between $2,036 and $9,278 (20th–80th percentile).

Hospitals
367
States
42
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 367 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
$1,309$2,130$5,366$7,651$15,383

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($1,309 vs $15,383).

How the prices are spread

$917 – $1,235: 15 hospitals$917$1,235 – $1,663: 17 hospitals$1,663 – $2,239: 55 hospitals$1,663$2,239 – $3,014: 32 hospitals$3,014 – $4,059: 32 hospitals$3,014$4,059 – $5,466: 22 hospitals$5,466 – $7,359: 74 hospitals$5,466$7,359 – $9,910: 35 hospitals$9,910 – $13,344: 17 hospitals$9,910$13,344 – $17,967: 35 hospitals$13,344median $5,366price bands are equal on a log scale
Hospitals per price band (334 of 367 — the bands cover the 5th to 95th percentile)
FromToHospitals
$917$1,23515
$1,235$1,66317
$1,663$2,23955
$2,239$3,01432
$3,014$4,05932
$4,059$5,46622
$5,466$7,35974
$7,359$9,91035
$9,910$13,34417
$13,344$17,96735

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,685
Median cash price$5,366
Cash as a multiple of Medicare0.94×

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 $5,366.

Alaska: 1 hospital 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: median $3,197 across 13 hospitalsWA$3,197Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,762 across 14 hospitalsIL$2,762Wisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $2,130 across 25 hospitalsMI$2,130New York: median $6,397 across 24 hospitalsNY$6,397Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,047 across 12 hospitalsOR$2,047Nevada: 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 $2,794 across 17 hospitalsIA$2,794Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,639 across 12 hospitalsOH$5,639Pennsylvania: median $6,338 across 24 hospitalsPA$6,338New Jersey: median $5,983 across 29 hospitalsNJ$5,983Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $15,383 across 43 hospitalsCA$15,383Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 5 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 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: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,847 across 12 hospitalsOK$1,847Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $8,274 across 26 hospitalsTX$8,274Florida: median $13,831 across 13 hospitalsFL$13,831
Cash price by state, most expensive first. National median $5,366. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA43$15,383+187%$6,880 – $15,383
Florida FL13$13,831+158%$6,059 – $13,831
Texas TX26$8,274+54%$7,440 – $8,989
New York NY24$6,397+19%$4,958 – $6,946
Pennsylvania PA24$6,338+18%$722 – $10,186
New Jersey NJ29$5,983+11%$5,110 – $7,228
Ohio OH12$5,639+5%$2,933 – $5,983
Washington WA13$3,197−40%$2,407 – $9,914
Iowa IA17$2,794−48%$2,794 – $2,794
Illinois IL14$2,762−49%$917 – $7,468
Michigan MI25$2,130−60%$2,006 – $2,386
Oregon OR12$2,047−62%$2,036 – $2,047
Oklahoma OK12$1,847−66%$1,847 – $1,847
Nebraska NE9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Missouri MO5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not 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 $5,366.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care320$5,685$2,047 – $9,914
Children’s4fewer than 20 hospitals
Critical access42$2,244$1,247 – $7,208
Ownership
For-profit29$5,400$917 – $12,563
Government54$3,934$2,006 – $6,397
Non-profit283$5,639$2,036 – $9,842
System affiliation
Part of a system307$5,741$2,036 – $9,842
Independent60$3,125$1,730 – $7,535

Cash price vs list price

Median list price (chargemaster)$7,153
Median cash price$5,366
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

205 hospitals filed a usable inpatient cash price for this code. The median is $3,374 and the average of the middle 60% is $4,366; most fall between $1,847 and $9,842.

Cash price percentiles, inpatient, across 205 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
$1,303$2,006$3,374$8,274$15,383

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($1,303 vs $15,383).

Of the 228 hospitals that filed this code inpatient, 205 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

367 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 402 hospitals that filed this code at all gave us
Usable cash price — counted367
Cash price carrying a plausibility flag — shown on the compare tool, excluded here25
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded8
Hospitals that filed this code402

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 23, 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 Dstl Revsc&Interval Lig Uxtr Hemo 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, “Blood flow repair of arm artery near a dialysis access (CPT 36838) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36838-blood-flow-repair-of-arm-artery-near-a-dialysis-access