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Dialysis access (AV fistula) in Hawaii: what insurers pay

Posted commercial rates at 4 Hawaii hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 36821

HospitalMedian across insurers× MedicareInsurersFile date
Wilcox Memorial Hospital Lihue$4,1041.1×12026-02-12
Straub Clinic And Hospital Honolulu$4,7741.3×102026-02-12
Pali Momi Medical Center Aiea$5,1441.4×12026-02-12
Kona Community Hospital Kealakekua$8,0802.2×22026-06-15

CPT 36818

HospitalMedian across insurers× MedicareInsurersFile date
Straub Clinic And Hospital Honolulu$5,8580.9×102026-02-12
Wilcox Memorial Hospital Lihue$7,0491.1×12026-02-12
Pali Momi Medical Center Aiea$7,6381.2×12026-02-12
Kona Community Hospital Kealakekua$8,0801.2×22026-06-15

Questions

How much do insurers pay for dialysis access (av fistula) in Hawaii?

4 Hawaii hospitals post usable commercial rates for dialysis access (av fistula) in their federal price-transparency files. For CPT 36821, hospital outpatient, the median across 4 hospitals is $4,959, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.