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

Posted commercial rates at 12 Idaho hospitals, each next to its own Medicare base rate.

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CPT 36821

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$2,9791.0×12026-04-01
North Canyon Medical Center Gooding$3,1481.0×12026-04-13
Treasure Valley Hospital Boise$5,2201.6×32026-09-02
Idaho Falls Community Hospital, Llc Idaho Falls$7,0192.3×32026-03-16
Kootenai Health Coeur D'Alene$7,0372.2×32026-03-27
Mountain View Hospital Idaho Falls$7,2962.3×22026-03-16
St Luke'S Nampa Medical Center Nampa$7,9952.5×72026-03-25
St Luke'S Jerome Jerome$7,9952.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$7,9952.6×82026-03-25
West Valley Medical Center Caldwell$8,2582.6×32026-09-01
St Luke'S Regional Medical Center Boise$9,6583.0×32026-03-25
Saint Alphonsus Regional Medical Center Boise$10,6623.3×22026-03-31

CPT 36818

HospitalMedian across insurers× MedicareInsurersFile date
St Joseph Regional Medical Center Lewiston$5,1400.9×12026-04-01
North Canyon Medical Center Gooding$5,4061.0×12026-04-13
Treasure Valley Hospital Boise$5,6221.0×32026-09-02
Mountain View Hospital Idaho Falls$7,9501.4×22026-03-16
Saint Alphonsus Regional Medical Center Boise$11,6352.1×22026-03-31
Idaho Falls Community Hospital, Llc Idaho Falls$12,3692.3×32026-03-16
Kootenai Health Coeur D'Alene$12,9702.3×22026-03-27
St Luke'S Nampa Medical Center Nampa$13,7302.4×72026-03-25
St Luke'S Jerome Jerome$13,7302.5×82026-03-25
St Luke'S Elmore Medical Center Mountain Home$13,7302.5×82026-03-25
West Valley Medical Center Caldwell$14,2362.5×32026-09-01
St Luke'S Regional Medical Center Boise$16,6503.0×32026-03-25

Questions

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

12 Idaho hospitals post usable commercial rates for dialysis access (av fistula) in their federal price-transparency files. For CPT 36821, hospital outpatient, the median across 12 hospitals is $7,646, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.