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

Tie-off of a major artery in an arm or leg

CPT 37618the billing code this page is about

Open surgery to tie shut a major artery of an arm or leg, typically after injury or to control bleeding.

Hospitals typically charge $1,296 cash for this outpatient procedure — the median across 748 hospitals that filed a usable cash price; the average of the middle 60% is $1,549. Most fall between $695 and $3,848 (20th–80th percentile).

Hospitals
748
States
48
Filings dated
Mar 2023 – 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 748 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
$549$762$1,296$2,893$6,450

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($549 vs $6,450).

How the prices are spread

$398 – $552: 40 hospitals$398$552 – $765: 115 hospitals$765 – $1,059: 120 hospitals$765$1,059 – $1,467: 92 hospitals$1,467 – $2,033: 98 hospitals$1,467$2,033 – $2,816: 52 hospitals$2,816 – $3,901: 46 hospitals$2,816$3,901 – $5,404: 55 hospitals$5,404 – $7,487: 41 hospitals$5,404$7,487 – $10,372: 17 hospitals$7,487median $1,296price bands are equal on a log scale
Hospitals per price band (676 of 748 — the bands cover the 5th to 95th percentile)
FromToHospitals
$398$55240
$552$765115
$765$1,059120
$1,059$1,46792
$1,467$2,03398
$2,033$2,81652
$2,816$3,90146
$3,901$5,40455
$5,404$7,48741
$7,487$10,37217

By state

The median cash price in each state, against the national median of $1,296.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 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 $1,072 across 17 hospitalsWA$1,072Idaho: median $2,726 across 10 hospitalsID$2,726Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,310 across 20 hospitalsMN$1,310Illinois: median $1,466 across 32 hospitalsIL$1,466Wisconsin: median $1,854 across 29 hospitalsWI$1,854Michigan: median $1,147 across 29 hospitalsMI$1,147New York: median $1,155 across 29 hospitalsNY$1,155Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $898 across 28 hospitalsOR$898Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $2,193 across 10 hospitalsSD$2,193Iowa: median $949 across 27 hospitalsIA$949Indiana: median $964 across 26 hospitalsIN$964Ohio: median $1,568 across 25 hospitalsOH$1,568Pennsylvania: median $1,059 across 34 hospitalsPA$1,059New Jersey: median $4,330 across 22 hospitalsNJ$4,330Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,112 across 40 hospitalsCA$2,112Utah: no hospital in the corpus filed a usable priceUTColorado: median $959 across 13 hospitalsCO$959Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $807 across 24 hospitalsMO$807Kentucky: median $965 across 10 hospitalsKY$965West Virginia: median $851 across 14 hospitalsWV$851Virginia: median $1,870 across 34 hospitalsVA$1,870Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $868 across 17 hospitalsKS$868Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $645 across 13 hospitalsTN$645North Carolina: 7 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $811 across 20 hospitalsOK$811Louisiana: 9 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $6,450 across 12 hospitalsGA$6,450Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,582 across 72 hospitalsTX$1,582Florida: median $5,723 across 17 hospitalsFL$5,723
Cash price by state, most expensive first. National median $1,296. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA12$6,450+398%$2,385 – $6,450
Florida FL17$5,723+342%$712 – $17,055
New Jersey NJ22$4,330+234%$3,786 – $5,741
Idaho ID10$2,726+110%$2,627 – $6,552
South Dakota SD10$2,193+69%$1,646 – $3,610
California CA40$2,112+63%$666 – $3,073
Virginia VA34$1,870+44%$1,549 – $5,023
Wisconsin WI29$1,854+43%$1,784 – $2,893
Texas TX72$1,582+22%$762 – $10,678
Ohio OH25$1,568+21%$764 – $5,023
Illinois IL32$1,466+13%$685 – $3,167
Minnesota MN20$1,310+1%$941 – $1,310
New York NY29$1,155−11%$624 – $10,372
Michigan MI29$1,147−12%$549 – $1,296
Washington WA17$1,072−17%$725 – $1,626
Pennsylvania PA34$1,059−18%$166 – $2,964
Kentucky KY10$965−26%$415 – $2,100
Indiana IN26$964−26%$632 – $1,520
Colorado CO13$959−26%$539 – $2,199
Iowa IA27$949−27%$844 – $1,119
Oregon OR28$898−31%$712 – $7,097
Kansas KS17$868−33%$553 – $1,049
West Virginia WV14$851−34%$420 – $3,913
Oklahoma OK20$811−37%$811 – $1,044
Missouri MO24$807−38%$599 – $1,466
Tennessee TN13$645−50%$633 – $645
Louisiana LA9not enough hospitals filed a usable price
Massachusetts MA9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
North Carolina NC7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Maryland MD1not 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 $1,296.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care543$1,466$712 – $4,558
Children’s11fewer than 20 hospitals
Critical access192$1,112$633 – $2,193
Ownership
For-profit53$1,638$694 – $6,450
Government130$1,197$651 – $2,911
Non-profit563$1,310$712 – $3,841
System affiliation
Part of a system600$1,376$718 – $4,330
Independent148$959$627 – $2,680

Cash price vs list price

Median list price (chargemaster)$2,413
Median cash price$1,296
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

530 hospitals filed a usable inpatient cash price for this code. The median is $1,289 and the average of the middle 60% is $1,624; most fall between $651 and $4,556.

Cash price percentiles, inpatient, across 530 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
$491$754$1,289$3,073$6,680

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($491 vs $6,680).

Of the 572 hospitals that filed this code inpatient, 530 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

748 of the 3,956 hospitals with a price file in our corpus (19%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 848 hospitals that filed this code at all gave us
Usable cash price — counted748
Cash price carrying a plausibility flag — shown on the compare tool, excluded here42
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 — excluded57
Hospitals that filed this code848

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 Other OR procedures on vessels other than head and neck family.

Hospitals file this code under descriptions such as Ligation Major Artery Extremity.

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, “Tie-off of a major artery in an arm or leg (CPT 37618) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-37618-tie-off-of-a-major-artery-in-an-arm-or-leg