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

Sealing off a side branch vein in a dialysis access

CPT 36909the billing code this page is about

Add-on service billed with a dialysis access procedure in which a branch vein of the access circuit is blocked with coils, plugs, or glue.

Hospitals typically charge $5,422 cash for this outpatient procedure — the median across 1,366 hospitals that filed a usable cash price; the average of the middle 60% is $6,027. Most fall between $2,156 and $12,197 (20th–80th percentile).

Hospitals
1,366
States
50
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 1,366 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
$881$2,726$5,422$10,842$16,785

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($881 vs $16,785).

How the prices are spread

$440 – $650: 35 hospitals$440$650 – $960: 36 hospitals$960 – $1,419: 51 hospitals$960$1,419 – $2,096: 66 hospitals$2,096 – $3,098: 156 hospitals$2,096$3,098 – $4,578: 202 hospitals$4,578 – $6,766: 183 hospitals$4,578$6,766 – $9,998: 181 hospitals$9,998 – $14,775: 180 hospitals$9,998$14,775 – $21,833: 145 hospitals$14,775median $5,422price bands are equal on a log scale
Hospitals per price band (1,235 of 1,366 — the bands cover the 5th to 95th percentile)
FromToHospitals
$440$65035
$650$96036
$960$1,41951
$1,419$2,09666
$2,096$3,098156
$3,098$4,578202
$4,578$6,766183
$6,766$9,998181
$9,998$14,775180
$14,775$21,833145

By state

The median cash price in each state, against the national median of $5,422.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $3,598 across 39 hospitalsWA$3,598Idaho: median $3,686 across 11 hospitalsID$3,686Montana: 3 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 $6,576 across 31 hospitalsMN$6,576Illinois: median $4,950 across 59 hospitalsIL$4,950Wisconsin: median $6,662 across 51 hospitalsWI$6,662Michigan: median $11,218 across 45 hospitalsMI$11,218New York: median $1,445 across 39 hospitalsNY$1,445Massachusetts: median $637 across 14 hospitalsMA$637Oregon: median $3,677 across 25 hospitalsOR$3,677Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $9,396 across 20 hospitalsIA$9,396Indiana: median $4,522 across 37 hospitalsIN$4,522Ohio: median $10,461 across 89 hospitalsOH$10,461Pennsylvania: median $4,954 across 63 hospitalsPA$4,954New Jersey: median $4,881 across 31 hospitalsNJ$4,881Connecticut: median $1,931 across 11 hospitalsCT$1,931Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $4,270 across 132 hospitalsCA$4,270Utah: median $18,558 across 26 hospitalsUT$18,558Colorado: median $5,806 across 32 hospitalsCO$5,806Nebraska: median $3,521 across 17 hospitalsNE$3,521Missouri: median $3,080 across 28 hospitalsMO$3,080Kentucky: median $3,309 across 14 hospitalsKY$3,309West Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $1,740 across 27 hospitalsVA$1,740Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $12,507 across 21 hospitalsAZ$12,507New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $4,061 across 10 hospitalsKS$4,061Arkansas: median $3,554 across 10 hospitalsAR$3,554Tennessee: median $3,534 across 31 hospitalsTN$3,534North Carolina: median $5,421 across 27 hospitalsNC$5,421South Carolina: median $13,472 across 30 hospitalsSC$13,472Oklahoma: median $3,609 across 27 hospitalsOK$3,609Louisiana: median $3,025 across 28 hospitalsLA$3,025Mississippi: median $3,486 across 23 hospitalsMS$3,486Alabama: median $2,122 across 10 hospitalsAL$2,122Georgia: median $7,437 across 56 hospitalsGA$7,437Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,637 across 113 hospitalsTX$5,637Florida: median $3,772 across 76 hospitalsFL$3,772
Cash price by state, most expensive first. National median $5,422. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT26$18,558+242%$18,558 – $21,833
South Carolina SC30$13,472+148%$5,579 – $16,221
Arizona AZ21$12,507+131%$3,245 – $19,519
Michigan MI45$11,218+107%$5,438 – $16,489
Ohio OH89$10,461+93%$6,204 – $15,156
Iowa IA20$9,396+73%$4,853 – $11,760
Georgia GA56$7,437+37%$2,451 – $9,280
Wisconsin WI51$6,662+23%$3,902 – $10,893
Minnesota MN31$6,576+21%$5,666 – $9,588
Colorado CO32$5,806+7%$1,645 – $15,407
Texas TX113$5,637+4%$2,979 – $14,281
North Carolina NC27$5,4210%$1,368 – $8,891
Pennsylvania PA63$4,954−9%$2,161 – $13,405
Illinois IL59$4,950−9%$2,990 – $11,110
New Jersey NJ31$4,881−10%$2,873 – $7,506
Indiana IN37$4,522−17%$2,210 – $10,357
California CA132$4,270−21%$1,598 – $9,931
Kansas KS10$4,061−25%$1,078 – $10,759
Florida FL76$3,772−30%$2,156 – $12,654
Idaho ID11$3,686−32%$3,185 – $3,686
Oregon OR25$3,677−32%$356 – $17,260
Oklahoma OK27$3,609−33%$2,672 – $5,197
Washington WA39$3,598−34%$2,101 – $11,528
Arkansas AR10$3,554−34%$319 – $5,869
Tennessee TN31$3,534−35%$3,372 – $3,709
Nebraska NE17$3,521−35%$875 – $3,857
Mississippi MS23$3,486−36%$2,153 – $5,818
Kentucky KY14$3,309−39%$2,034 – $7,784
Missouri MO28$3,080−43%$2,831 – $8,375
Louisiana LA28$3,025−44%$806 – $6,020
Alabama AL10$2,122−61%$647 – $19,281
Connecticut CT11$1,931−64%$635 – $3,148
Virginia VA27$1,740−68%$870 – $6,185
New York NY39$1,445−73%$502 – $5,852
Massachusetts MA14$637−88%$380 – $9,606
North Dakota ND7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Hampshire NH2not 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 $5,422.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,232$5,438$2,109 – $12,419
Children’s20$5,345$2,861 – $12,018
Critical access105$5,038$2,979 – $10,893
Ownership
For-profit124$8,053$3,000 – $18,238
Government156$3,785$1,305 – $8,891
Non-profit1,077$5,432$2,210 – $12,197
System affiliation
Part of a system1,206$5,637$2,396 – $12,500
Independent160$3,363$743 – $10,038

Cash price vs list price

Median list price (chargemaster)$9,842
Median cash price$5,422
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

1,107 hospitals filed a usable inpatient cash price for this code. The median is $5,850 and the average of the middle 60% is $6,553; most fall between $2,259 and $12,614.

Cash price percentiles, inpatient, across 1,107 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
$1,139$2,813$5,850$10,917$16,988

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,139 vs $16,988).

Of the 1,242 hospitals that filed this code inpatient, 1,107 gave a usable cash price; 74 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 60 a list price only.

How complete is this

1,366 of the 3,956 hospitals with a price file in our corpus (35%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,587 hospitals that filed this code at all gave us
Usable cash price — counted1,366
Cash price carrying a plausibility flag — shown on the compare tool, excluded here117
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 — excluded103
Hospitals that filed this code1,587

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Dialyis Circuit Vasc Emboli Occls Evasc Img S&I.

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, “Sealing off a side branch vein in a dialysis access (CPT 36909) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-36909-sealing-off-a-side-branch-vein-in-a-dialysis-access