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

Posted commercial rates at 57 Pennsylvania 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
Upmc Mercy Pittsburgh$1,9300.6×22026-03-06
Conemaugh Memorial Medical Center Johnstown$2,1330.7×12026-04-15
St Mary Medical Center Langhorne$2,6160.8×202026-03-31
Upmc Northwest Seneca$2,7480.9×22026-03-06
Upmc St Margaret Pittsburgh$2,8600.9×12026-03-06
Temple Health - Chestnut Hill Hospital Philadelphia$2,9500.9×72026-04-08
Upmc East Monroeville$2,9631.0×22026-03-06
Upmc Altoona Altoona$2,9911.0×12026-03-06
Upmc Hamot Erie$3,4121.1×42026-03-06
Holy Redeemer Hospital And Medical Center Meadowbrook$3,6341.2×52026-09-21
Jefferson Lansdale Hospital Lansdale$3,9381.3×52026-09-15
Jefferson Abington Hospital Abington$3,9381.3×52026-09-15
Upmc Somerset Somerset$4,0521.3×22026-03-06
Saint Vincent Hospital Erie$4,2491.4×72026-04-14
Riddle Memorial Hospital Media$4,4201.4×22026-04-01
Paoli Hospital Paoli$4,5921.5×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,6421.4×22026-04-01
Lankenau Medical Center Wynnewood$4,6891.5×22026-04-01
Temple University Hospital Philadelphia$4,8731.5×92026-04-13
Upmc Presbyterian Shadyside Pittsburgh$5,0311.6×12026-03-06
Upmc Washington Washington$5,3641.7×42026-03-06
Jefferson Health-Northeast Philadelphia$5,5141.7×62026-09-15
Jefferson Einstein Montgomery Hospital East Norriton$5,5141.8×62026-09-15
Jefferson Hospital Jefferson Hills$5,7061.9×62026-04-14
Grove City Hospital Grove City$5,7251.9×62026-04-14
Uniontown Hospital Uniontown$5,8561.9×42026-07-09
Allegheny Valley Hospital Natrona$6,3922.1×62026-04-14
Canonsburg General Hospital Canonsburg$6,4082.1×62026-04-14
Upmc Hanover Hanover$6,4132.1×32026-03-06
Wellspan York Hospital York$6,4202.1×32026-01-01
Robert Packer Hospital Sayre$6,4322.1×102026-03-31
Forbes Hospital Monroeville$6,5862.1×62026-04-14
Ahn Wexford Hospital Wexford$6,8922.2×62026-04-14
St Clair Hospital Pittsburgh$7,0572.3×72026-03-31
St Luke'S Hospital - Upper Bucks Campus Quakertown$7,3562.4×22026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$7,8132.5×32026-02-27
Allegheny General Hospital Pittsburgh$7,9222.6×62026-04-14
West Penn Hospital Pittsburgh$7,9602.6×62026-04-14
St Luke'S Hospital - Carbon Campus Lehighton$8,7992.7×32026-02-27
Thomas Jefferson University Hospital Philadelphia$9,3042.9×42026-09-15
St Luke'S Hospital Bethlehem Bethlehem$10,4563.3×32026-02-26
Penn State Health Hampden Medical Center Enola$10,5513.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$10,6673.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$10,8333.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$11,1643.6×82026-07-01
Lehigh Valley Hospital Allentown$11,8313.7×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$12,6654.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$12,7524.2×82026-07-01
Wellspan Chambersburg Hospital Chambersburg$12,7704.0×22026-01-01
St Luke'S Hospital - Easton Campus Easton$13,7404.3×22026-02-26
Penn State Health St. Joseph Reading$13,9634.3×12026-03-27
Troy Community Hospital Troy$14,4384.7×32026-03-31
Lehigh Valley Hospital - Macungie Macungie$14,5244.5×82026-07-01

CPT 36818

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Northwest Seneca$3,9080.7×22026-03-06
Upmc East Monroeville$4,8660.9×22026-03-06
Riddle Memorial Hospital Media$5,4010.9×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$5,5521.0×22026-03-06
Paoli Hospital Paoli$5,6801.1×22026-04-01
Bryn Mawr Hospital Bryn Mawr$5,7601.0×22026-04-01
Lankenau Medical Center Wynnewood$5,8361.1×22026-04-01
Holy Redeemer Hospital And Medical Center Meadowbrook$5,9421.1×52026-09-21
Upmc Somerset Somerset$6,0321.1×22026-03-06
Jefferson Lansdale Hospital Lansdale$6,1361.1×52026-09-15
Jefferson Abington Hospital Abington$6,1361.1×52026-09-15
Upmc Hamot Erie$6,4441.2×42026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$6,8931.3×62026-09-15
Jefferson Hospital Jefferson Hills$6,9311.3×72026-04-14
Jefferson Health-Northeast Philadelphia$7,0041.2×62026-09-15
Upmc Altoona Altoona$7,3191.4×12026-03-06
Temple University Hospital Philadelphia$7,5131.3×92026-04-13
Thomas Jefferson University Hospital Philadelphia$9,3041.6×42026-09-15
Saint Vincent Hospital Erie$9,6361.8×62026-04-14
Upmc Memorial York$10,5191.9×52026-03-06
Allegheny Valley Hospital Natrona$10,9782.0×62026-04-14
Canonsburg General Hospital Canonsburg$11,0062.0×62026-04-14
Grove City Hospital Grove City$11,0612.0×52026-04-14
Forbes Hospital Monroeville$11,3102.1×62026-04-14
Ahn Wexford Hospital Wexford$11,8382.2×62026-04-14
St Clair Hospital Pittsburgh$12,4372.3×72026-03-31
St Luke'S Hospital Bethlehem Bethlehem$13,2292.3×32026-02-26
St Luke'S Hospital - Monroe Campus Stroudsburg$13,2292.4×32026-02-27
Allegheny General Hospital Pittsburgh$13,6062.5×62026-04-14
West Penn Hospital Pittsburgh$13,6702.5×62026-04-14
Lehigh Valley Hospital Allentown$13,9792.5×82026-07-01
Wellspan Ephrata Community Hospital Ephrata$14,2002.6×22026-01-01
Wilkes-Barre General Hospital Wilkes-Barre$14,7602.7×12026-07-01
Geisinger Community Medical Center Scranton$16,2033.0×32026-07-01
Wellspan York Hospital York$16,2613.0×22026-01-01
Penn State Health Hampden Medical Center Enola$18,5953.3×12026-03-27
Penn State Health Holy Spirit Medical Center Camp Hill$18,7993.4×12026-03-27
Penn State Health Lancaster Medical Center Lancaster$19,0913.5×12026-03-27
Lehigh Valley Hospital - Dickson City Dickson City$19,6743.6×82026-07-01
Lehigh Valley Hospital - Pocono East Stroudsburg$22,3204.1×82026-07-01
Lehigh Valley Hospital - Hazleton Hazleton$22,4734.2×82026-07-01
Penn State Health St. Joseph Reading$24,6084.3×12026-03-27
Lehigh Valley Hospital - Macungie Macungie$25,5974.5×82026-07-01

Questions

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

57 Pennsylvania hospitals post usable commercial rates for dialysis access (av fistula) in their federal price-transparency files. For CPT 36821, hospital outpatient, the median across 53 hospitals is $6,392, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.