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

Posted commercial rates at 16 Iowa 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
Mercyone North Iowa Medical Center Mason City$3,2261.1×172026-03-31
Mercyone Des Moines Medical Center Des Moines$3,2261.1×202026-03-31
Clarinda Regional Health Center Clarinda$3,4411.1×12026-07-13
Monroe County Hospital Albia$4,4681.5×22026-03-17
Floyd County Medical Center Charles City$4,6001.5×32025-11-19
Finley Hospital Dubuque$5,0081.6×62026-01-28
Cherokee Regional Medical Center Cherokee$5,0301.7×42025-11-19
Unitypoint Health - Marshalltown Marshalltown$5,5321.8×12026-01-28
Methodist Jennie Edmundson Council Bluffs$5,7021.8×52026-02-15
Trinity Muscatine Muscatine$5,9982.0×42026-01-28
Broadlawns Medical Center Des Moines$6,1402.0×22026-09-01
Chi Health Mercy Council Bluffs Council Bluffs$6,2421.9×112026-02-28
Trinity Bettendorf Bettendorf$6,8132.2×32026-01-28
Allen Hospital Waterloo$6,9892.3×32026-01-28
Trinity Regional Medical Center Fort Dodge$7,7302.5×32026-01-28
Gundersen Palmer Lutheran Hospital And Clinics West Union$8,2762.7×12026-06-27

CPT 36818

HospitalMedian across insurers× MedicareInsurersFile date
Clarinda Regional Health Center Clarinda$2,8020.5×12026-07-13
Methodist Jennie Edmundson Council Bluffs$7,8581.4×52026-02-15
Floyd County Medical Center Charles City$7,9011.5×32025-11-19
Cherokee Regional Medical Center Cherokee$7,9711.5×42025-11-19
Gundersen Palmer Lutheran Hospital And Clinics West Union$8,2761.6×12026-06-27
Trinity Muscatine Muscatine$8,8631.7×42026-01-28
Chi Health Mercy Council Bluffs Council Bluffs$8,9461.6×62026-02-28
Unitypoint Health - Marshalltown Marshalltown$9,5001.8×12026-01-28
Finley Hospital Dubuque$9,8711.9×52026-01-28
Broadlawns Medical Center Des Moines$10,8212.0×22026-09-01
Trinity Bettendorf Bettendorf$11,7002.2×32026-01-28
Allen Hospital Waterloo$12,0032.2×32026-01-28
Trinity Regional Medical Center Fort Dodge$13,2762.5×32026-01-28

Questions

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

16 Iowa hospitals post usable commercial rates for dialysis access (av fistula) in their federal price-transparency files. For CPT 36821, hospital outpatient, the median across 16 hospitals is $5,617, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.