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

Posted commercial rates at 31 Tennessee 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
Ascension Saint Thomas Rutherford Murfreesboro$1,8690.6×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West) Nashville$2,5820.8×22026-01-01
Southern Tennessee Regional Health System Lawrence Lawrenceburg$2,7461.0×22026-07-14
Livingston Regional Hospital Livingston$2,8821.0×22026-04-01
Parkwest Medical Center Knoxville$2,8881.0×42026-08-05
Morristown Hamblen Hospital Association Morristown$3,0081.1×52026-08-05
Roane Medical Center Harriman$3,0081.1×52026-08-05
Methodist Medical Center Of Oak Ridge Oak Ridge$3,0081.1×52026-08-05
Fort Sanders Regional Medical Center Knoxville$3,0081.1×52026-08-05
Cumberland Medical Center Crossville$3,2221.1×52026-08-05
Claiborne Medical Center Tazewell$3,2221.1×52026-08-05
Leconte Medical Center Sevierville$3,2221.1×52026-08-05
Hardin Medical Center Savannah$3,4671.2×32026-05-01
Tennova Healthcare North Knoxville Medical Center Powell$3,9761.4×52026-04-01
Erlanger Health System Chattanooga$4,4141.5×12026-01-25
Baptist Memorial Hospital Union City Union City$5,1731.8×502026-02-25
Erlanger Bledsoe Hospital Pikeville$5,2881.9×12026-01-25
Vanderbilt Clarksville Hospital Clarksville$5,9601.9×82026-01-01
Vanderbilt Wilson County Hospital Lebanon$6,4322.1×132025-10-01
Vanderbilt University Medical Center Nashville$6,4882.1×132025-10-01
Vanderbilt Bedford Hospital Shelbyville$6,6622.3×132025-10-01
Vanderbilt Tullahoma-Harton Hospital Tullahoma$6,6622.3×132025-10-01
Parkridge Medical Center Chattanooga$8,9533.1×62026-09-01
TriStar Skyline Medical Center Nashville$10,3193.4×62026-09-01
Tristar Horizon Medical Center Dickson$10,3193.4×62026-09-01
Tristar Northcrest Medical Center Springfield$10,3193.4×62026-09-01
TriStar Summit Medical Center Hermitage$10,3193.4×62026-09-01
TriStar Hendersonville Medical Center Hendersonville$10,3193.4×62026-09-01
Tristar Southern Hills Medical Center Nashville$10,3193.4×62026-09-01
TriStar StoneCrest Medical Center Smyrna$10,3193.4×62026-09-01
Tristar Ashland City Medical Center Ashland City$10,3193.4×62026-09-01

CPT 36818

HospitalMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas Hospital (Midtown + West) Nashville$3,4110.6×12026-01-01
Livingston Regional Hospital Livingston$3,7940.8×22026-04-01
Morristown Hamblen Hospital Association Morristown$5,3011.1×42026-08-05
Roane Medical Center Harriman$5,3011.1×42026-08-05
Methodist Medical Center Of Oak Ridge Oak Ridge$5,3011.1×42026-08-05
Fort Sanders Regional Medical Center Knoxville$5,3011.1×42026-08-05
Parkwest Medical Center Knoxville$5,3011.1×32026-08-05
Cumberland Medical Center Crossville$5,6771.1×42026-08-05
Claiborne Medical Center Tazewell$5,6771.1×42026-08-05
Leconte Medical Center Sevierville$5,6771.1×42026-08-05
Hardin Medical Center Savannah$6,8761.4×22026-05-01
Erlanger Health System Chattanooga$7,6101.5×12026-01-25
Vanderbilt Clarksville Hospital Clarksville$8,3371.5×72026-01-01
Parkridge Medical Center Chattanooga$8,9531.7×62026-09-01
Erlanger Bledsoe Hospital Pikeville$9,0821.8×12026-01-25
TriStar Skyline Medical Center Nashville$10,3191.9×62026-09-01
Tristar Horizon Medical Center Dickson$10,3191.9×62026-09-01
Tristar Northcrest Medical Center Springfield$10,3191.9×62026-09-01
TriStar Summit Medical Center Hermitage$10,3191.9×62026-09-01
TriStar Hendersonville Medical Center Hendersonville$10,3191.9×62026-09-01
Tristar Southern Hills Medical Center Nashville$10,3191.9×62026-09-01
TriStar StoneCrest Medical Center Smyrna$10,3191.9×62026-09-01
Tristar Ashland City Medical Center Ashland City$10,3191.9×62026-09-01
Vanderbilt University Medical Center Nashville$11,1422.1×122025-10-01
Vanderbilt Bedford Hospital Shelbyville$11,2202.2×112025-10-01
Vanderbilt Tullahoma-Harton Hospital Tullahoma$11,2202.2×112025-10-01
Vanderbilt Wilson County Hospital Lebanon$11,2202.1×112025-10-01

Questions

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

31 Tennessee hospitals post usable commercial rates for dialysis access (av fistula) in their federal price-transparency files. For CPT 36821, hospital outpatient, the median across 31 hospitals is $5,173, 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.