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

Posted commercial rates at 29 Washington 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
Astria Toppenish Hospital Toppenish$3,2680.9×42026-04-01
Trios Kennewick$3,3560.9×52026-07-17
Multicare Deaconess Hospital Spokane$6,7001.9×82026-08-27
Multicare Capital Medical Center Olympia$8,3772.4×112026-08-27
Swedish Issaquah Issaquah$8,3882.3×72026-04-01
Multicare Valley Hospital Spokane$8,4342.4×92026-08-27
Overlake Hospital Medical Center Bellevue$8,4422.3×62026-04-01
Providence St Mary Medical Center Walla Walla$8,7002.5×62026-04-01
Providence Regional Medical Center Everett Everett$8,8272.5×72026-04-01
Swedish Edmonds Hospital Edmonds$8,8942.5×72026-04-01
St Clare Hospital Lakewood$9,0332.5×92026-02-28
St Joseph Medical Center Tacoma$9,0332.5×92026-02-28
St Francis Community Hospital Federal Way$9,0332.5×92026-02-28
St Elizabeth Hospital Enumclaw$9,0332.5×72026-02-28
Providence Holy Family Hospital Spokane$9,1432.6×62026-04-01
St Anne Hospital Burien$9,3492.5×82026-02-28
Multicare Auburn Medical Center Auburn$9,3782.6×112026-08-27
Multicare Covington Medical Center Covington$9,3782.6×112026-08-27
St Anthony Hospital Gig Harbor$9,3812.5×92026-02-28
Multicare Good Samaritan Hospital Puyallup$9,4092.5×112026-08-27
Tacoma General Allenmore Hospital Tacoma$9,4092.5×112026-08-27
Kadlec Regional Medical Center Richland$10,0822.9×42026-04-01
Legacy Salmon Creek Medical Center Vancouver$10,6043.0×72026-04-01
Virginia Mason Medical Center Seattle$10,8803.0×72026-01-01
Swedish Medical Center / Cherry Hill Seattle$11,2833.1×72026-04-01
Swedish Medical Center Seattle$11,3893.1×72026-04-01
Mary Bridge Children'S Hospital Tacoma$11,9083.2×92026-08-27
St Michael Medical Center Bremerton$13,8323.8×32026-02-28
Providence Centralia Hospital Centralia$17,6655.0×42026-04-01

CPT 36818

HospitalMedian across insurers× MedicareInsurersFile date
Astria Toppenish Hospital Toppenish$5,6330.9×42026-04-01
Trios Kennewick$5,7640.9×52026-07-17
Providence St Mary Medical Center Walla Walla$12,6162.0×62026-04-01
Providence Regional Medical Center Everett Everett$12,6512.0×72026-04-01
Legacy Salmon Creek Medical Center Vancouver$12,8612.1×72026-04-01
St Elizabeth Hospital Enumclaw$13,9852.2×72026-02-28
Overlake Hospital Medical Center Bellevue$14,2542.2×62026-04-01
Swedish Issaquah Issaquah$14,3452.2×72026-04-01
Multicare Capital Medical Center Olympia$14,4422.3×92026-08-27
St Anne Hospital Burien$14,9222.3×82026-02-28
Swedish Edmonds Hospital Edmonds$15,3342.5×72026-04-01
St Clare Hospital Lakewood$15,5732.4×92026-02-28
St Joseph Medical Center Tacoma$15,5732.4×92026-02-28
St Francis Community Hospital Federal Way$15,5732.4×92026-02-28
St Anthony Hospital Gig Harbor$15,5922.4×92026-02-28
Providence Holy Family Hospital Spokane$15,6672.5×62026-04-01
Multicare Deaconess Hospital Spokane$15,9782.6×52026-08-27
Kadlec Regional Medical Center Richland$15,9822.6×42026-04-01
Multicare Valley Hospital Spokane$16,1682.6×62026-08-27
Virginia Mason Medical Center Seattle$17,1642.7×72026-01-01
Multicare Auburn Medical Center Auburn$19,4143.0×82026-08-27
Tacoma General Allenmore Hospital Tacoma$19,4143.0×82026-08-27
Multicare Covington Medical Center Covington$19,4143.0×82026-08-27
Swedish Medical Center / Cherry Hill Seattle$19,4523.0×72026-04-01
Swedish Medical Center Seattle$19,6353.0×72026-04-01
Multicare Good Samaritan Hospital Puyallup$22,1643.4×62026-08-27
St Michael Medical Center Bremerton$23,8473.7×32026-02-28
Providence Centralia Hospital Centralia$25,4904.1×42026-04-01
Mary Bridge Children'S Hospital Tacoma$28,7174.4×52026-08-27

Questions

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

29 Washington hospitals post usable commercial rates for dialysis access (av fistula) in their federal price-transparency files. For CPT 36821, hospital outpatient, the median across 29 hospitals is $9,143, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.