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

Posted commercial rates at 41 Michigan 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
Oaklawn Hospital Marshall$1,7650.6×22026-03-27
Henry Ford Health -St John Hospital Detroit$2,1500.7×22026-01-01
Henry Ford Genesys Hospital Grand Blanc$2,9320.9×42026-01-01
Henry Ford Health Providence Southfield Hospital Southfield$2,9480.9×12026-01-01
Munson Healthcare Grayling Hospital Grayling$3,1461.0×82026-04-17
Munson Medical Center Traverse City$3,5541.1×82026-04-17
Munson Healthcare Manistee Hospital Manistee$3,5541.1×42026-04-17
Munson Healthcare Cadillac Hospital Cadillac$3,9631.3×72026-04-17
Munson Healthcare Otsego Memorial Hospital Gaylord$3,9631.3×22026-04-17
Mclaren Northern Michigan Petoskey$4,1041.3×22025-12-31
Corewell Health Zeeland Hospital Zeeland$4,1531.3×22026-05-01
Corewell Health Big Rapids Hospital Big Rapids$4,1531.3×22026-05-01
Corewell Health Gerber Hospital Fremont$4,1531.3×22026-05-01
Corewell Health Pennock Hospital Hastings$4,1531.3×22026-05-01
Mclaren Flint Flint$4,3061.4×22025-12-31
Mclaren Greater Lansing Lansing$4,4471.4×22025-12-31
Mclaren Lapeer Region Lapeer$4,4801.4×22025-12-31
Trinity Health Oakland Hospital Pontiac$4,6831.5×242026-03-31
Mclaren Bay Region Bay City$4,9631.6×12025-12-31
Trinity Health Ann Arbor Hospital Ann Arbor$4,9981.6×162026-03-31
Corewell Health Dearborn Hospital Dearborn$5,1181.6×12026-05-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$5,1181.6×22026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$5,1181.6×22026-05-01
Corewell Health Wayne Hospital Wayne$5,1181.6×22026-05-01
Corewell Health Farmington Hills Hospital Farmington Hills$5,1181.6×22026-05-01
Corewell Health Trenton Hospital Trenton$5,1181.6×22026-05-01
Corewell Health Taylor Hospital Taylor$5,1181.6×22026-05-01
Trinity Health Muskegon Hospital Muskegon$5,2221.7×222026-03-31
Henry Ford Health Macomb Hospital Clinton Township$5,2531.7×82026-06-28
Wyandotte Hospital And Medical Center Wyandotte$5,2531.7×92026-06-28
Henry Ford Health West Bloomfield Hospital West Bloomfield$5,2531.7×82026-06-28
Trinity Health Grand Rapids Hospital Grand Rapids$5,3041.7×222026-03-31
Trinity Health Livonia Hospital Livonia$5,3341.7×252026-03-31
Henry Ford Health Jackson Hospital Jackson$5,4431.7×72026-06-28
Henry Ford Health Rochester Hospital Rochester$5,5131.8×12026-01-01
Mclaren Macomb Mount Clemens$5,9171.9×22025-12-31
Henry Ford Health Hospital Detroit$5,9821.9×82026-06-28
Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph$6,6852.1×12026-05-01
Harper University Hospital Detroit$8,1652.6×12026-09-02
Huron Valley-Sinai Hospital Commerce Township$8,1652.6×12026-05-20

CPT 36818

HospitalMedian across insurers× MedicareInsurersFile date
Henry Ford Health Providence Southfield Hospital Southfield$3,5640.6×12026-01-01
Henry Ford Genesys Hospital Grand Blanc$3,6160.7×32026-01-01
Trinity Health Grand Rapids Hospital Grand Rapids$3,8970.7×222026-03-31
Henry Ford Health Rochester Hospital Rochester$4,0510.7×12026-01-01
Corewell Health Zeeland Hospital Zeeland$4,1530.8×22026-05-01
Corewell Health Big Rapids Hospital Big Rapids$4,1530.8×22026-05-01
Corewell Health Gerber Hospital Fremont$4,1530.8×22026-05-01
Corewell Health Pennock Hospital Hastings$4,1530.8×22026-05-01
Garden City Hospital Garden City$4,1960.8×32026-09-01
Mclaren Northern Michigan Petoskey$4,5240.8×22025-12-31
Mclaren Greater Lansing Lansing$4,7750.9×22025-12-31
Corewell Health Dearborn Hospital Dearborn$5,1180.9×12026-05-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$5,1180.9×22026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$5,1180.9×22026-05-01
Corewell Health Wayne Hospital Wayne$5,1180.9×22026-05-01
Corewell Health Farmington Hills Hospital Farmington Hills$5,1180.9×22026-05-01
Corewell Health Trenton Hospital Trenton$5,1180.9×22026-05-01
Corewell Health Taylor Hospital Taylor$5,1180.9×22026-05-01
Munson Healthcare Grayling Hospital Grayling$5,5441.0×82026-04-17
Munson Healthcare Cadillac Hospital Cadillac$5,5441.0×72026-04-17
Munson Medical Center Traverse City$5,5441.0×82026-04-17
Mclaren Macomb Mount Clemens$5,8561.1×22025-12-31
Henry Ford Health Macomb Hospital Clinton Township$6,0981.1×82026-06-28
Henry Ford Health West Bloomfield Hospital West Bloomfield$6,0981.1×82026-06-28
Wyandotte Hospital And Medical Center Wyandotte$6,1081.1×82026-06-28
Munson Healthcare Manistee Hospital Manistee$6,2101.1×42026-04-17
Corewell Health Lakeland Hospitals St Joseph Hospi St Joseph$6,6851.2×12026-05-01
Munson Healthcare Otsego Memorial Hospital Gaylord$6,8771.2×22026-04-17
Henry Ford Health Jackson Hospital Jackson$6,9791.3×72026-06-28
Henry Ford Health Hospital Detroit$7,0561.3×82026-06-28
Harper University Hospital Detroit$8,1651.5×12026-09-02
Huron Valley-Sinai Hospital Commerce Township$8,1651.5×12026-05-20

Questions

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

41 Michigan hospitals post usable commercial rates for dialysis access (av fistula) in their federal price-transparency files. For CPT 36821, hospital outpatient, the median across 40 hospitals is $5,058, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.