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

Clot removal from a dialysis access circuit

CPT 36904the billing code this page is about

Catheter-based removal or dissolving of clot within a dialysis fistula or graft circuit, including the imaging needed to guide and check the work.

Hospitals typically charge $7,479 cash for this outpatient procedure — the median across 1,681 hospitals that filed a usable cash price; the average of the middle 60% is $7,901. Most fall between $3,986 and $13,002 (20th–80th percentile).

Hospitals
1,681
States
50
Filings dated
Feb 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 1,681 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
$2,351$4,681$7,479$11,943$18,062

The most expensive tenth of hospitals charges at least 7.7× what the cheapest tenth charges ($2,351 vs $18,062).

How the prices are spread

$975 – $1,332: 18 hospitals$975$1,332 – $1,820: 23 hospitals$1,820 – $2,487: 55 hospitals$1,820$2,487 – $3,399: 92 hospitals$3,399 – $4,644: 140 hospitals$3,399$4,644 – $6,345: 256 hospitals$6,345 – $8,670: 292 hospitals$6,345$8,670 – $11,846: 297 hospitals$11,846 – $16,187: 212 hospitals$11,846$16,187 – $22,117: 129 hospitals$16,187median $7,479price bands are equal on a log scale
Hospitals per price band (1,514 of 1,681 — the bands cover the 5th to 95th percentile)
FromToHospitals
$975$1,33218
$1,332$1,82023
$1,820$2,48755
$2,487$3,39992
$3,399$4,644140
$4,644$6,345256
$6,345$8,670292
$8,670$11,846297
$11,846$16,187212
$16,187$22,117129

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,815
Median cash price$7,479
Cash as a multiple of Medicare1.29×

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 $7,479.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 4 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $10,166 across 42 hospitalsWA$10,166Idaho: median $11,004 across 11 hospitalsID$11,004Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $6,568 across 36 hospitalsMN$6,568Illinois: median $6,890 across 69 hospitalsIL$6,890Wisconsin: median $7,230 across 60 hospitalsWI$7,230Michigan: median $7,826 across 60 hospitalsMI$7,826New York: median $6,756 across 63 hospitalsNY$6,756Massachusetts: median $7,243 across 24 hospitalsMA$7,243Oregon: median $9,250 across 29 hospitalsOR$9,250Nevada: median $6,190 across 11 hospitalsNV$6,190Wyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $7,133 across 23 hospitalsIA$7,133Indiana: median $4,145 across 45 hospitalsIN$4,145Ohio: median $7,511 across 98 hospitalsOH$7,511Pennsylvania: median $8,211 across 82 hospitalsPA$8,211New Jersey: median $6,616 across 56 hospitalsNJ$6,616Connecticut: median $9,018 across 13 hospitalsCT$9,018Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $11,554 across 147 hospitalsCA$11,554Utah: median $9,210 across 23 hospitalsUT$9,210Colorado: median $9,612 across 32 hospitalsCO$9,612Nebraska: median $8,108 across 19 hospitalsNE$8,108Missouri: median $7,530 across 42 hospitalsMO$7,530Kentucky: median $6,440 across 17 hospitalsKY$6,440West Virginia: median $2,338 across 15 hospitalsWV$2,338Virginia: median $7,755 across 36 hospitalsVA$7,755Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $6,984 across 29 hospitalsAZ$6,984New Mexico: 9 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $9,202 across 17 hospitalsKS$9,202Arkansas: median $3,064 across 12 hospitalsAR$3,064Tennessee: median $2,648 across 36 hospitalsTN$2,648North Carolina: median $4,434 across 43 hospitalsNC$4,434South Carolina: median $12,506 across 29 hospitalsSC$12,506Oklahoma: median $4,699 across 27 hospitalsOK$4,699Louisiana: median $4,283 across 31 hospitalsLA$4,283Mississippi: median $4,316 across 28 hospitalsMS$4,316Alabama: median $8,312 across 11 hospitalsAL$8,312Georgia: median $7,233 across 58 hospitalsGA$7,233Hawaii: median $4,709 across 10 hospitalsHI$4,709Texas: median $9,720 across 145 hospitalsTX$9,720Florida: median $8,271 across 85 hospitalsFL$8,271
Cash price by state, most expensive first. National median $7,479. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
South Carolina SC29$12,506+67%$5,579 – $12,905
California CA147$11,554+54%$3,865 – $19,530
Idaho ID11$11,004+47%$9,210 – $11,300
Washington WA42$10,166+36%$3,998 – $13,837
Texas TX145$9,720+30%$5,386 – $17,791
Colorado CO32$9,612+29%$5,860 – $11,668
Oregon OR29$9,250+24%$1,057 – $14,018
Utah UT23$9,210+23%$9,210 – $10,836
Kansas KS17$9,202+23%$5,228 – $10,759
Connecticut CT13$9,018+21%$4,496 – $16,731
Alabama AL11$8,312+11%$6,706 – $11,385
Florida FL85$8,271+11%$5,360 – $17,974
Pennsylvania PA82$8,211+10%$4,139 – $12,395
Nebraska NE19$8,108+8%$2,659 – $9,279
Michigan MI60$7,826+5%$437 – $17,199
Virginia VA36$7,755+4%$5,051 – $9,057
Missouri MO42$7,530+1%$4,958 – $11,339
Ohio OH98$7,5110%$5,335 – $13,115
Massachusetts MA24$7,243−3%$5,038 – $10,980
Georgia GA58$7,233−3%$5,511 – $9,179
Wisconsin WI60$7,230−3%$3,610 – $11,230
Iowa IA23$7,133−5%$4,719 – $10,915
Arizona AZ29$6,984−7%$5,150 – $9,304
Illinois IL69$6,890−8%$3,000 – $13,002
New York NY63$6,756−10%$4,068 – $13,579
New Jersey NJ56$6,616−12%$4,996 – $12,047
Minnesota MN36$6,568−12%$5,494 – $9,197
Kentucky KY17$6,440−14%$3,585 – $22,894
Nevada NV11$6,190−17%$3,139 – $13,817
Hawaii HI10$4,709−37%$2,023 – $6,251
Oklahoma OK27$4,699−37%$599 – $6,746
North Carolina NC43$4,434−41%$2,608 – $7,850
Mississippi MS28$4,316−42%$2,399 – $11,417
Louisiana LA31$4,283−43%$2,742 – $6,695
Indiana IN45$4,145−45%$577 – $10,647
Arkansas AR12$3,064−59%$1,840 – $7,455
Tennessee TN36$2,648−65%$2,133 – $5,864
West Virginia WV15$2,338−69%$380 – $5,050
Montana MT9not enough hospitals filed a usable price
New Mexico NM9not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Maine ME4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Vermont VT2not 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 $7,479.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,500$7,501$4,134 – $13,197
Children’s31$5,627$3,501 – $15,304
Critical access141$7,511$2,265 – $11,230
Ownership
For-profit186$9,245$4,800 – $18,343
Government203$6,019$2,880 – $9,646
Non-profit1,283$7,594$4,063 – $12,905
System affiliation
Part of a system1,468$7,525$4,073 – $13,002
Independent213$7,364$3,424 – $12,813

Cash price vs list price

Median list price (chargemaster)$13,947
Median cash price$7,479
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

1,303 hospitals filed a usable inpatient cash price for this code. The median is $8,125 and the average of the middle 60% is $8,311; most fall between $4,139 and $13,567.

Cash price percentiles, inpatient, across 1,303 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
$2,625$4,914$8,125$12,374$18,187

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($2,625 vs $18,187).

Of the 1,405 hospitals that filed this code inpatient, 1,303 gave a usable cash price; 43 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 58 a list price only.

How complete is this

1,681 of the 3,956 hospitals with a price file in our corpus (42%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,819 hospitals that filed this code at all gave us
Usable cash price — counted1,681
Cash price carrying a plausibility flag — shown on the compare tool, excluded here72
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded63
Hospitals that filed this code1,819

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 Thrmbc/Nfs Dialysis Circuit Img Dx Angrph.

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, “Clot removal from a dialysis access circuit (CPT 36904) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36904-clot-removal-from-a-dialysis-access-circuit