Procedure price report · Other OR procedures on vessels of head and neck

Surgical tie-off of the carotid artery in the neck

CPT code CPT 37605the billing code this page is about

Open neck surgery in which the internal or common carotid artery is tied shut, usually to stop bleeding or control an aneurysm.

Hospitals typically charge $2,339 cash for this outpatient procedure — the median across 284 hospitals that filed a usable cash price; the average of the middle 60% is $2,655. Most fall between $1,202 and $4,881 (20th–80th percentile).

Hospitals
284
States
40
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 284 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
$898$1,266$2,339$4,627$7,284

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($898 vs $7,284).

How the prices are spread

$595 – $770: 5 hospitals$595$770 – $996: 17 hospitals$996 – $1,288: 46 hospitals$996$1,288 – $1,665: 27 hospitals$1,665 – $2,154: 25 hospitals$1,665$2,154 – $2,785: 20 hospitals$2,785 – $3,602: 15 hospitals$2,785$3,602 – $4,658: 44 hospitals$4,658 – $6,023: 36 hospitals$4,658$6,023 – $7,790: 28 hospitals$6,023median $2,339price bands are equal on a log scale
Hospitals per price band (263 of 284 — the bands cover the 5th to 95th percentile)
FromToHospitals
$595$7705
$770$99617
$996$1,28846
$1,288$1,66527
$1,665$2,15425
$2,154$2,78520
$2,785$3,60215
$3,602$4,65844
$4,658$6,02336
$6,023$7,79028

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,226
Median cash price$2,339
Cash as a multiple of Medicare0.72×

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 $2,339.

Alaska: 1 hospital 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: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,230 across 11 hospitalsIL$1,230Wisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $1,266 across 23 hospitalsMI$1,266New York: median $3,725 across 28 hospitalsNY$3,725Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 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 $1,796 across 15 hospitalsIA$1,796Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,593 across 12 hospitalsOH$3,593Pennsylvania: median $2,245 across 19 hospitalsPA$2,245New Jersey: median $3,986 across 22 hospitalsNJ$3,986Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,790 across 24 hospitalsCA$7,790Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,483 across 15 hospitalsVA$2,483Maryland: 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: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,202 across 13 hospitalsOK$1,202Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,880 across 18 hospitalsTX$4,880Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,339. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$7,790+233%$7,790 – $7,790
Texas TX18$4,880+109%$4,880 – $4,880
New Jersey NJ22$3,986+70%$3,484 – $5,419
New York NY28$3,725+59%$1,273 – $3,725
Ohio OH12$3,593+54%$2,056 – $5,479
Virginia VA15$2,483+6%$488 – $4,138
Pennsylvania PA19$2,245−4%$449 – $5,931
Iowa IA15$1,796−23%$1,796 – $1,796
Michigan MI23$1,266−46%$1,266 – $4,256
Illinois IL11$1,230−47%$1,129 – $1,796
Oklahoma OK13$1,202−49%$1,202 – $1,291
West Virginia WV8not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not 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
Colorado CO1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
North Dakota ND1not 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 $2,339.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care247$2,483$1,230 – $5,110
Children’s8fewer than 20 hospitals
Critical access28$1,266$900 – $4,880
Ownership
For-profit26$2,264$1,129 – $5,479
Government31$2,339$1,291 – $3,725
Non-profit226$2,339$1,202 – $4,888
System affiliation
Part of a system238$2,483$1,202 – $5,110
Independent46$2,001$1,291 – $3,875

Cash price vs list price

Median list price (chargemaster)$2,750
Median cash price$2,339
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

175 hospitals filed a usable inpatient cash price for this code. The median is $2,012 and the average of the middle 60% is $2,529; most fall between $1,202 and $5,321.

Cash price percentiles, inpatient, across 175 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
$1,035$1,273$2,012$4,880$7,790

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($1,035 vs $7,790).

Of the 185 hospitals that filed this code inpatient, 175 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

284 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 310 hospitals that filed this code at all gave us
Usable cash price — counted284
Cash price carrying a plausibility flag — shown on the compare tool, excluded here24
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 — excluded1
Hospitals that filed this code310

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.

Hospitals file this code under descriptions such as Ligation Internal/Common Carotid Artery.

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, “Surgical tie-off of the carotid artery in the neck (CPT 37605) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-37605-surgical-tie-off-of-the-carotid-artery-in-the-neck