36821

Relocation of arm vein with connection to arm artery for hemodialysis

Medicare pricing data for 4,179 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $405 in Utah to $864 in Nevada. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Relocation of arm vein with connection to arm artery for hemodialysis (HCPCS code 36821) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $605.73, but hospitals typically charge $2,245 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$121.15

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $605.73, your out-of-pocket cost would be approximately $121.15. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$605.73
Average Hospital Charge
$2,245
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,245.04
Medicare Allowed$605.73
Medicare Payment$479.72

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $479.72 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Nevada$864$2,69916267+42.7%
Arizona$792$3,23765806+30.8%
Puerto Rico$732$1,738719+20.8%
Illinois$713$2,623134952+17.8%
California$707$2,5423702,479+16.6%
New York$689$2,6602971,388+13.8%
New Jersey$664$2,702121649+9.6%
Michigan$661$1,790134680+9.2%
Ohio$656$2,109145640+8.3%
District of Columbia$651$1,8241263+7.5%
Alaska$639$6,21610126+5.5%
Louisiana$639$1,88250331+5.5%
Minnesota$629$3,28260324+3.8%
South Carolina$617$2,22068436+1.8%
Virginia$616$1,630103707+1.6%
Alabama$615$1,85151294+1.6%
Massachusetts$614$2,37297404+1.4%
Connecticut$607$2,53261225+0.1%
Wyoming$605$3,465723-0.1%
Tennessee$603$1,82591571-0.4%
Oklahoma$598$1,55436381-1.3%
Vermont$594$3,206524-1.9%
Rhode Island$593$2,2041291-2.1%
Hawaii$589$1,4991686-2.8%
Maryland$572$1,68387473-5.6%
Texas$572$2,1443002,146-5.6%
Kentucky$566$1,53453312-6.5%
Arkansas$565$1,79132180-6.7%
Georgia$563$2,068159895-7.0%
Pennsylvania$560$1,994222959-7.5%
Florida$556$1,9302711,602-8.1%
Mississippi$545$1,92342361-10.0%
North Carolina$543$2,141140835-10.3%
New Hampshire$543$3,42835127-10.4%
West Virginia$542$1,73931107-10.5%
Kansas$535$1,64136274-11.7%
North Dakota$535$1,85815152-11.7%
Indiana$529$2,38698612-12.7%
Delaware$528$1,7451247-12.8%
Iowa$507$1,95233191-16.4%
Oregon$504$1,69662232-16.9%
Missouri$497$2,03475481-17.9%
South Dakota$496$2,00621141-18.1%
Wisconsin$496$5,38797437-18.2%
Washington$495$1,57695638-18.3%
Montana$491$1,54530122-19.0%
New Mexico$484$2,07422171-20.1%
Colorado$484$1,72767295-20.2%
Nebraska$483$1,66432167-20.3%
Idaho$461$1,38729119-23.9%
Maine$445$1,47430112-26.5%
Utah$405$1,38441230-33.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber