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Dialysis access (AV fistula) in Rhode Island: what insurers pay

Posted commercial rates at 3 Rhode Island hospitals, each next to its own Medicare base rate.

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CPT 36821

HospitalMedian across insurers× MedicareInsurersFile date
The Miriam Hospital Providence$6,1891.7×32026-04-01
Newport Hospital Newport$7,7452.2×52026-04-01
Rhode Island Hospital Providence$9,8132.8×52026-04-01

CPT 36818

HospitalMedian across insurers× MedicareInsurersFile date
The Miriam Hospital Providence$10,6691.7×32026-04-01
Newport Hospital Newport$11,1881.8×52026-04-01
Rhode Island Hospital Providence$11,3681.8×52026-04-01

Questions

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

3 Rhode Island hospitals post usable commercial rates for dialysis access (av fistula) in their federal price-transparency files. For CPT 36821, hospital outpatient, the median across 3 hospitals is $7,745, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.