Price AtlasInteractive atlas · All states · techysurgeon.comDialysis access (AV fistula): what insurers pay
Connecting an artery and vein in the arm for dialysis. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 36821: Dialysis Access (Av Fistula)
1096 hospitals in 80 markets. National Medicare rate $3,226, surgery center $1,624.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 8 | $4,456 | $5,006 | $5,289 | $3,054–$6,393 |
| Alaska (statewide) | 5 | $4,691 | $5,095 | $7,458 | $2,414–$16,171 |
| Arizona (statewide) | 8 | $3,056 | $4,298 | $4,718 | $2,126–$6,047 |
| Arkansas (statewide) | 9 | $2,519 | $2,849 | $3,030 | $1,577–$4,350 |
| Atlanta GA | 6 | $5,828 | $5,886 | $5,886 | $5,809–$5,886 |
| Austin TX | 13 | $2,660 | $4,742 | $5,576 | $2,660–$5,576 |
| Boston MA | 11 | $4,720 | $5,066 | $5,754 | $3,542–$6,636 |
| California (statewide) | 66 | $5,011 | $7,827 | $11,910 | $2,892–$16,493 |
| Charlotte NC | 5 | $3,742 | $3,742 | $3,742 | $3,691–$3,742 |
| Chicago IL | 10 | $4,382 | $5,617 | $8,363 | $3,233–$10,219 |
| Cleveland OH | 11 | $3,286 | $3,881 | $4,766 | $2,453–$5,305 |
| Colorado (statewide) | 13 | $5,350 | $6,277 | $6,764 | $2,674–$13,834 |
| Columbus OH | 1 | — | — | — | $11,357–$11,357 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$13,155 |
| Dallas-Fort Worth TX | 12 | $6,295 | $7,748 | $8,825 | $5,908–$14,564 |
| Delaware (statewide) | 1 | — | — | — | $8,581–$8,581 |
| Denver CO | 15 | $4,248 | $6,866 | $8,638 | $3,920–$13,730 |
| Detroit MI | 15 | $5,118 | $5,118 | $5,424 | $2,150–$8,165 |
| Florida (statewide) | 62 | $6,983 | $8,598 | $9,403 | $2,424–$14,522 |
| Georgia (statewide) | 29 | $3,624 | $5,809 | $8,400 | $2,515–$17,296 |
| Hawaii (statewide) | 4 | — | — | — | $4,104–$8,080 |
| Houston TX | 19 | $4,464 | $5,048 | $5,849 | $4,144–$6,027 |
| Idaho (statewide) | 12 | $6,569 | $7,646 | $8,061 | $2,979–$10,662 |
| Illinois (statewide) | 27 | $4,347 | $5,282 | $7,598 | $2,880–$10,219 |
| Indiana (statewide) | 32 | $4,421 | $6,784 | $11,937 | $1,905–$20,580 |
| Indianapolis IN | 2 | — | — | — | $13,134–$14,170 |
| Iowa (statewide) | 16 | $4,567 | $5,617 | $6,385 | $3,226–$8,276 |
| Kansas (statewide) | 12 | $4,244 | $5,194 | $6,959 | $2,186–$16,171 |
| Kentucky (statewide) | 14 | $3,844 | $4,232 | $4,387 | $2,152–$6,462 |
| Las Vegas NV | 1 | — | — | — | $3,010–$3,010 |
| Los Angeles CA | 17 | $6,062 | $7,539 | $9,062 | $5,290–$20,636 |
| Louisiana (statewide) | 23 | $3,030 | $4,559 | $5,260 | $2,771–$9,620 |
| Maine (statewide) | 15 | $12,897 | $14,793 | $14,973 | $8,021–$18,825 |
| Maryland (statewide) | 1 | — | — | — | $8,411–$8,411 |
| Massachusetts (statewide) | 5 | $3,021 | $3,021 | $4,308 | $2,863–$4,640 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $2,637–$5,876 |
| Michigan (statewide) | 25 | $3,963 | $4,153 | $5,222 | $1,765–$6,685 |
| Minneapolis-St. Paul MN | 7 | $4,628 | $4,665 | $5,386 | $4,405–$5,890 |
| Minnesota (statewide) | 11 | $7,856 | $8,679 | $10,029 | $4,511–$11,784 |
| Mississippi (statewide) | 15 | $4,597 | $4,872 | $5,827 | $3,081–$11,650 |
| Missouri (statewide) | 16 | $4,020 | $5,794 | $6,614 | $2,422–$9,560 |
| Montana (statewide) | 5 | $6,501 | $6,610 | $9,032 | $6,181–$9,720 |
| Nashville TN | 8 | $5,470 | $8,404 | $10,319 | $1,869–$10,319 |
| Nebraska (statewide) | 12 | $6,100 | $6,600 | $7,889 | $5,630–$18,020 |
| Nevada (statewide) | 3 | — | — | — | $6,010–$7,475 |
| New Hampshire (statewide) | 6 | $10,186 | $10,638 | $11,178 | $8,425–$14,139 |
| New Jersey (statewide) | 23 | $4,348 | $7,338 | $9,060 | $3,439–$12,670 |
| New Mexico (statewide) | 8 | $4,955 | $8,239 | $12,052 | $3,321–$15,828 |
| New York (statewide) | 36 | $3,861 | $4,988 | $6,985 | $2,570–$14,438 |
| New York City | 7 | $3,874 | $3,878 | $6,043 | $3,872–$9,226 |
| North Carolina (statewide) | 4 | — | — | — | $2,350–$8,372 |
| North Dakota (statewide) | 5 | $5,629 | $5,703 | $7,283 | $5,445–$8,002 |
| Ohio (statewide) | 39 | $3,996 | $5,846 | $8,423 | $1,645–$12,136 |
| Oklahoma (statewide) | 11 | $2,383 | $6,482 | $7,340 | $1,523–$12,670 |
| Oregon (statewide) | 7 | $8,060 | $9,127 | $11,974 | $7,091–$14,667 |
| Pennsylvania (statewide) | 34 | $4,101 | $7,206 | $11,081 | $2,133–$14,524 |
| Philadelphia PA | 11 | $4,617 | $4,873 | $6,462 | $3,938–$11,208 |
| Phoenix AZ | 8 | $3,755 | $4,028 | $4,054 | $2,936–$4,130 |
| Pittsburgh PA | 10 | $3,480 | $5,535 | $6,538 | $1,930–$7,922 |
| Portland OR | 9 | $10,934 | $10,934 | $13,100 | $10,604–$13,100 |
| Rhode Island (statewide) | 3 | — | — | — | $6,189–$9,813 |
| Richmond VA | 3 | — | — | — | $7,208–$8,742 |
| Rio Grande Valley TX | 6 | $4,141 | $4,258 | $5,454 | $4,103–$7,649 |
| Salt Lake City UT | 9 | $4,063 | $4,114 | $4,114 | $2,902–$4,744 |
| San Antonio TX | 3 | — | — | — | $4,138–$5,849 |
| San Diego CA | 3 | — | — | — | $5,807–$7,489 |
| San Francisco Bay Area CA | 5 | $7,399 | $8,159 | $8,660 | $7,000–$26,573 |
| Seattle-Tacoma WA | 16 | $8,998 | $9,364 | $9,409 | $8,388–$11,389 |
| South Carolina (statewide) | 19 | $9,628 | $12,852 | $15,002 | $5,867–$15,345 |
| South Dakota (statewide) | 3 | — | — | — | $3,962–$16,762 |
| St. Louis MO | 2 | — | — | — | $3,234–$3,234 |
| Tampa FL | 6 | $8,481 | $8,481 | $8,481 | $4,346–$10,426 |
| Tennessee (statewide) | 24 | $3,008 | $3,996 | $6,662 | $2,746–$10,319 |
| Texas (statewide) | 78 | $4,144 | $5,817 | $7,837 | $2,104–$20,580 |
| Utah (statewide) | 6 | $3,159 | $4,022 | $5,964 | $2,902–$6,581 |
| Virginia (statewide) | 19 | $9,321 | $10,268 | $11,951 | $5,930–$15,816 |
| Washington (statewide) | 12 | $7,958 | $8,866 | $10,538 | $3,268–$17,665 |
| Washington DC | 8 | $6,822 | $6,895 | $6,895 | $6,699–$6,895 |
| West Virginia (statewide) | 7 | $4,819 | $5,318 | $11,504 | $3,494–$21,021 |
| Wisconsin (statewide) | 38 | $6,491 | $9,877 | $10,492 | $1,953–$12,671 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Ascension St John Jane Phillips | Oklahoma (statewide) | $1,523 | 0.5× | 1 | 2026-01-01 |
| Ascension St John Nowata | Oklahoma (statewide) | $1,523 | 0.5× | 1 | 2026-01-01 |
| Ascension St John Owasso | Oklahoma (statewide) | $1,540 | 0.5× | 1 | 2026-01-01 |
| Mercy Hospital Fort Smith | Arkansas (statewide) | $1,577 | 0.5× | 6 | 2026-06-08 |
| Selby General Hospital | Ohio (statewide) | $1,645 | 0.6× | 1 | 2026-10-01 |
| Oaklawn Hospital | Michigan (statewide) | $1,765 | 0.6× | 2 | 2026-03-27 |
| Ascension Saint Thomas Rutherford | Nashville TN | $1,869 | 0.6× | 1 | 2026-01-01 |
| Mercy Hospital Northwest Arkansas | Arkansas (statewide) | $1,875 | 0.6× | 6 | 2026-06-08 |
| Columbus Regional Hospital | Indiana (statewide) | $1,905 | 0.6× | 1 | 2026-04-01 |
| Community Hospital Of Bremen Inc | Indiana (statewide) | $1,905 | 0.6× | 2 | 2026-01-01 |
| Upmc Mercy | Pittsburgh PA | $1,930 | 0.6× | 2 | 2026-03-06 |
| Stoughton Hospital | Wisconsin (statewide) | $1,953 | 0.6× | 1 | 2026-06-11 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $17,296 | 5.5× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $17,296 | 5.5× | 2 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $17,665 | 5.0× | 4 | 2026-04-01 |
| Chi Health St Francis | Nebraska (statewide) | $18,020 | 5.5× | 6 | 2026-02-28 |
| Parkview Lagrange Hospital | Indiana (statewide) | $18,563 | 5.6× | 1 | 2026-09-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $18,825 | 6.1× | 1 | 2025-09-09 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $20,368 | 6.1× | 1 | 2026-09-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $20,580 | 6.2× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $20,580 | 6.5× | 1 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 5.1× | 3 | 2025-11-26 |
| Logan Regional Medical Center | West Virginia (statewide) | $21,021 | 6.9× | 1 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $26,573 | 5.7× | 3 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 36818: Dialysis Access (Av Fistula)
975 hospitals in 78 markets. National Medicare rate $5,685, surgery center $3,187.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 9 | $4,806 | $6,006 | $7,262 | $2,986–$9,742 |
| Alaska (statewide) | 3 | — | — | — | $5,312–$16,324 |
| Arizona (statewide) | 5 | $3,554 | $5,583 | $6,041 | $3,545–$6,047 |
| Arkansas (statewide) | 8 | $5,144 | $5,666 | $6,641 | $3,320–$7,472 |
| Atlanta GA | 6 | $6,285 | $6,285 | $9,385 | $6,285–$10,418 |
| Austin TX | 13 | $4,412 | $6,994 | $8,694 | $4,412–$8,694 |
| Boston MA | 11 | $7,145 | $9,158 | $9,758 | $5,005–$10,996 |
| California (statewide) | 55 | $7,553 | $15,950 | $20,455 | $4,474–$24,039 |
| Charlotte NC | 5 | $6,427 | $6,427 | $6,427 | $6,339–$6,427 |
| Chicago IL | 7 | $6,579 | $7,952 | $14,716 | $6,180–$15,808 |
| Cleveland OH | 10 | $5,791 | $6,517 | $8,889 | $4,828–$11,055 |
| Colorado (statewide) | 12 | $6,858 | $7,098 | $9,710 | $5,433–$14,838 |
| Columbus OH | 1 | — | — | — | $20,014–$20,014 |
| Connecticut (statewide) | 2 | — | — | — | $5,370–$23,184 |
| Dallas-Fort Worth TX | 12 | $8,742 | $8,778 | $11,352 | $8,573–$23,783 |
| Delaware (statewide) | 1 | — | — | — | $15,122–$15,122 |
| Denver CO | 15 | $7,852 | $10,327 | $10,859 | $4,281–$14,838 |
| Detroit MI | 11 | $5,118 | $5,118 | $6,577 | $4,051–$8,165 |
| Florida (statewide) | 57 | $11,316 | $12,383 | $15,048 | $3,786–$22,631 |
| Georgia (statewide) | 27 | $4,998 | $8,400 | $10,418 | $3,108–$19,226 |
| Hawaii (statewide) | 4 | — | — | — | $5,858–$8,080 |
| Houston TX | 19 | $5,574 | $7,961 | $8,778 | $4,284–$10,621 |
| Idaho (statewide) | 12 | $7,368 | $12,670 | $13,730 | $5,140–$16,650 |
| Illinois (statewide) | 23 | $6,341 | $8,985 | $13,209 | $5,422–$16,060 |
| Indiana (statewide) | 20 | $9,107 | $13,782 | $20,714 | $3,529–$28,641 |
| Iowa (statewide) | 13 | $7,971 | $8,946 | $10,821 | $2,802–$13,276 |
| Kansas (statewide) | 8 | $5,966 | $9,204 | $15,438 | $4,219–$16,324 |
| Kentucky (statewide) | 15 | $4,348 | $6,462 | $7,032 | $2,741–$9,200 |
| Las Vegas NV | 2 | — | — | — | $3,469–$6,004 |
| Los Angeles CA | 17 | $9,026 | $9,936 | $12,025 | $8,383–$28,632 |
| Louisiana (statewide) | 22 | $5,174 | $7,214 | $8,329 | $4,596–$10,844 |
| Maine (statewide) | 15 | $22,150 | $25,406 | $25,716 | $13,704–$32,332 |
| Maryland (statewide) | 1 | — | — | — | $8,392–$8,392 |
| Massachusetts (statewide) | 4 | — | — | — | $5,057–$7,826 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $6,334–$10,093 |
| Michigan (statewide) | 21 | $4,153 | $5,118 | $6,098 | $3,564–$6,979 |
| Minneapolis-St. Paul MN | 6 | $8,010 | $8,110 | $8,716 | $7,641–$11,636 |
| Minnesota (statewide) | 11 | $11,025 | $14,550 | $17,281 | $7,820–$20,317 |
| Mississippi (statewide) | 12 | $7,625 | $8,156 | $8,512 | $6,136–$17,364 |
| Missouri (statewide) | 12 | $6,223 | $6,760 | $7,066 | $3,739–$16,982 |
| Montana (statewide) | 5 | $10,992 | $11,352 | $15,918 | $6,181–$16,771 |
| Nashville TN | 7 | $10,319 | $10,319 | $10,730 | $3,411–$11,220 |
| Nebraska (statewide) | 11 | $8,946 | $8,946 | $10,288 | $6,004–$18,020 |
| Nevada (statewide) | 4 | — | — | — | $4,679–$10,894 |
| New Hampshire (statewide) | 6 | $10,774 | $12,876 | $17,357 | $8,425–$24,918 |
| New Jersey (statewide) | 22 | $6,354 | $7,772 | $10,428 | $6,272–$17,642 |
| New Mexico (statewide) | 5 | $9,826 | $13,842 | $15,163 | $5,704–$16,696 |
| New York (statewide) | 28 | $5,774 | $7,762 | $11,923 | $4,640–$18,666 |
| New York City | 8 | $4,650 | $4,966 | $8,265 | $4,622–$11,735 |
| North Carolina (statewide) | 2 | — | — | — | $5,724–$14,753 |
| North Dakota (statewide) | 5 | $9,352 | $9,704 | $9,795 | $8,002–$12,556 |
| Ohio (statewide) | 34 | $8,442 | $12,812 | $14,537 | $4,208–$21,388 |
| Oklahoma (statewide) | 7 | $11,290 | $12,309 | $13,948 | $6,397–$14,977 |
| Oregon (statewide) | 7 | $13,843 | $15,720 | $20,885 | $12,497–$25,282 |
| Pennsylvania (statewide) | 27 | $10,078 | $13,670 | $18,697 | $3,908–$25,597 |
| Philadelphia PA | 11 | $5,798 | $6,893 | $7,601 | $5,401–$11,208 |
| Phoenix AZ | 8 | $4,532 | $4,839 | $5,025 | $3,610–$5,583 |
| Pittsburgh PA | 7 | $6,242 | $10,978 | $11,574 | $4,866–$13,606 |
| Portland OR | 9 | $13,320 | $13,320 | $19,623 | $12,861–$19,623 |
| Rhode Island (statewide) | 3 | — | — | — | $10,669–$11,368 |
| Richmond VA | 3 | — | — | — | $9,380–$10,394 |
| Rio Grande Valley TX | 5 | $7,231 | $7,446 | $8,778 | $7,231–$9,280 |
| Salt Lake City UT | 9 | $5,003 | $5,211 | $5,211 | $4,455–$5,967 |
| San Antonio TX | 3 | — | — | — | $5,974–$6,598 |
| San Diego CA | 3 | — | — | — | $10,020–$13,197 |
| San Francisco Bay Area CA | 5 | $9,456 | $10,026 | $14,520 | $7,460–$37,273 |
| Seattle-Tacoma WA | 16 | $15,231 | $15,582 | $19,414 | $12,651–$22,164 |
| South Carolina (statewide) | 19 | $9,684 | $14,380 | $16,408 | $6,913–$20,154 |
| South Dakota (statewide) | 3 | — | — | — | $6,831–$27,942 |
| Tampa FL | 6 | $12,584 | $12,752 | $12,752 | $11,760–$12,752 |
| Tennessee (statewide) | 21 | $5,301 | $7,350 | $10,319 | $3,794–$11,220 |
| Texas (statewide) | 76 | $5,800 | $8,162 | $11,348 | $3,348–$28,641 |
| Utah (statewide) | 6 | $4,592 | $5,003 | $5,125 | $4,455–$5,211 |
| Virginia (statewide) | 19 | $13,600 | $16,081 | $18,269 | $8,344–$23,073 |
| Washington (statewide) | 12 | $13,643 | $15,822 | $18,088 | $5,633–$28,717 |
| Washington DC | 9 | $6,822 | $6,895 | $6,895 | $4,169–$6,895 |
| West Virginia (statewide) | 4 | — | — | — | $6,000–$21,886 |
| Wisconsin (statewide) | 29 | $10,785 | $11,038 | $12,858 | $4,959–$18,123 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Norton Hospital | Kentucky (statewide) | $2,741 | 0.5× | 1 | 2026-02-11 |
| Clarinda Regional Health Center | Iowa (statewide) | $2,802 | 0.5× | 1 | 2026-07-13 |
| King'S Daughters' Medical Center | Kentucky (statewide) | $2,878 | 0.5× | 2 | 2026-09-25 |
| Usa Health Children'S & Women'S Hospital | Alabama (statewide) | $2,986 | 0.6× | 1 | 2026-04-30 |
| Adventhealth Gordon | Georgia (statewide) | $3,108 | 0.6× | 3 | 2026-04-01 |
| Adventhealth Murray | Georgia (statewide) | $3,108 | 0.6× | 1 | 2026-04-01 |
| Bradley County Medical Center | Arkansas (statewide) | $3,320 | 0.7× | 2 | 2026-04-08 |
| Ennis Regional Medical Center | Texas (statewide) | $3,348 | 0.6× | 1 | 2026-04-01 |
| Atrium Health Navicent Peach | Georgia (statewide) | $3,350 | 0.7× | 2 | 2025-11-19 |
| Chi Saint Joseph Berea Nf | Kentucky (statewide) | $3,363 | 0.6× | 1 | 2026-02-28 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $3,411 | 0.6× | 1 | 2026-01-01 |
| Usa Health University Hospital | Alabama (statewide) | $3,464 | 0.7× | 1 | 2026-04-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $25,716 | 4.7× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $25,716 | 4.7× | 2 | 2026-03-30 |
| Mainehealth Waldo Hospital | Maine (statewide) | $26,560 | 4.8× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $27,084 | 5.0× | 2 | 2026-03-30 |
| Same Day Surgery Center Llc | South Dakota (statewide) | $27,942 | 4.9× | 2 | 2026-09-10 |
| Cedars-Sinai Medical Center | Los Angeles CA | $28,632 | 4.0× | 3 | 2025-11-26 |
| Parkview Regional Medical Center | Indiana (statewide) | $28,641 | 4.9× | 1 | 2026-09-01 |
| Parkview Huntington Hospital | Indiana (statewide) | $28,641 | 4.9× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $28,641 | 5.1× | 1 | 2026-09-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $28,717 | 4.4× | 5 | 2026-08-27 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $32,332 | 5.9× | 1 | 2025-09-09 |
| Stanford Health Care | San Francisco Bay Area CA | $37,273 | 4.5× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for dialysis access (av fistula)?
Across 1096 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 36821, hospital outpatient is $6,066, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,283 to $9,281. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for dialysis access (av fistula)?
Medicare's national hospital outpatient rate for CPT 36821 is $3,226 and its surgery-center rate is $1,624, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for dialysis access (av fistula)?
Lowest medians: Ascension St John Jane Phillips ($1,523), Ascension St John Nowata ($1,523), Ascension St John Owasso ($1,540). Highest: Stanford Health Care ($26,573), Logan Regional Medical Center ($21,021), Cedars-Sinai Medical Center ($20,636). Coverage: every hospital whose price file we could read.