Dialysis fistula creation Cost by Hospital

Dialysis fistula creation is a surgical procedure. Prices are from 1378 US hospitals across 52 states, from their machine-readable files.

$5,110median cash price · 1378 hospitals, 52 statestypically $1,235–$16,158 depending on the hospital
≈ 8.5× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$10,297
Cash / self-pay
$5,110
Insurer-negotiated
$3,367
Medicare pays
$601
$1,235$16,158
Median cash $5,110  ·  Medicare $601  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $5,110 — about 8.5× the Medicare rate ($601). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,202).

💡 Asking for the cash price instead of the $10,297 list price could save about $5,187 (50%).

Estimate what you’ll pay
Quick fill:

Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Vanderbilt Bedford Hospital Shelbyville, TN $768 $1,162 ★ 4/5 125 min —
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $768 $1,162 ★ 3/5 168 min —
Bassett Healthcare Cooperstown, NY $850 $937 ★ 2/5 199 min —
Hospital De La Concepcion San German, PR $852 $2,341 — — —
Artesia General Hospital Artesia, NM $859 $1,317 — 99 min —
Conway Medical Center Conway, SC $862 $598 ★ 2/5 134 min —
Southwestern Vermont Medical Center Bennington, VT $876 — ★ 3/5 202 min —
Boone Hospital Center Columbia, MO $882 — ★ 4/5 175 min —
Montgomery General Hospital Montgomery, WV $892 $4,355 — 100 min —
Red Bud Regional Hospital Red Bud, IL $907 $1,554 ★ 4/5 122 min —
Deaconess Hospital Inc Evansville, IN $907 $769 ★ 2/5 186 min —
The Women's Hospital Newburgh, IN $907 $904 ★ 5/5 130 min —
Deaconess Henderson Hospital Henderson, KY $907 $938 ★ 2/5 127 min —
Children's Mercy South Overland Park, KS $931 $965 — — —
The Children's Mercy Hospital Kansas City, MO $931 $965 — — —
Northwest Florida Community Hospital Chipley, FL $935 $531 ★ 2/5 — —
Regional West Medical Center Scottsbluff, NE $977 $1,177 ★ 2/5 202 min —
Crystal Clinic Orthopaedic Center Akron, OH $983 $781 ★ 5/5 — —
University of Texas Medical Branch Galveston Galveston, TX $1,002 $1,118 ★ 3/5 190 min —
Ellis Hospital Schenectady, NY $1,009 $718 ★ 3/5 232 min —
Doctor's Center De San Juan Santurce, PR $1,050 $1,935 — — —
Margaret Mary Community Hospital Inc Batesville, IN $1,054 $696 — 132 min —
Hopedale Hospital Hopedale, IL $1,079 $375 — 130 min —
University of Michigan Health System Ann Arbor, MI $1,083 $941 ★ 4/5 345 min —
Contra Costa Regional Medical Center Martinez, CA $1,086 — ★ 4/5 171 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Dialysis fistula creation

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $5,110; Medicare pays $601.

InsurerHospitalsNegotiated median
Medicaid 133
$236
$45 – $1,507
Medicare 252
$309
$50 – $3,221
Univera 13
$450
$51 – $811
Tricare / VA 183
$612
$54 – $3,725
MVP Health Care 51
$672
$549 – $5,198
AmeriHealth 130
$726
$116 – $3,725
Independent Health 24
$731
$270 – $920
Highmark 84
$776
$162 – $6,384
Priority Health 32
$1,039
$292 – $4,394
Geisinger 40
$1,122
$116 – $3,667
Amerigroup 114
$1,174
$270 – $3,092
Workers' Comp / No-Fault 44
$1,177
$1,177 – $4,905
Molina Healthcare 386
$1,230
$283 – $3,999
Sanford Health Plan 27
$1,388
$321 – $5,264
Health Net 119
$1,507
$222 – $6,793
Centene / Ambetter 512
$1,516
$222 – $4,178
UCare 37
$1,548
$419 – $5,570
Blue Cross Blue Shield 762
$1,815
$108 – $9,042
Medica 60
$1,959
$440 – $4,801
HealthPartners 89
$1,963
$222 – $5,494
MultiPlan / PHCS network 228
$2,116
$222 – $9,829
Harvard Pilgrim 21
$2,197
$235 – $6,417
UPMC Health Plan 63
$2,998
$679 – $7,791
Coventry 51
$3,015
$725 – $7,425
Security Health Plan 29
$3,042
$239 – $12,277
Humana 637
$3,148
$375 – $25,450
Devoted Health 109
$3,163
$2,881 – $3,733
Anthem 360
$3,266
$222 – $10,976
UnitedHealthcare 900
$3,328
$471 – $13,579
Aetna 846
$3,388
$612 – $12,294
Kaiser Permanente 144
$3,803
$262 – $15,202
SelectHealth 35
$4,120
$872 – $7,995
Oscar Health 147
$4,677
$645 – $11,678
Bright Health 43
$4,787
$272 – $10,969
EmblemHealth 63
$4,958
$2,446 – $24,910
Healthcare Highways 32
$5,475
$4,988 – $6,287
Cigna 635
$5,851
$1,176 – $23,865
AvMed 37
$22,295
$3,559 – $43,805

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Colorado$653
Hawaii$704
North Dakota$1,155
Tennessee$1,365
Montana$1,607
Iowa$1,622

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Steven Posner, M.D.Vascular SurgeryBellflower, CA101
James Gardner, MDVascular SurgeryMemphis, TN95
Homayoun Hashemi, M.D.Vascular SurgeryFairfax, VA92
Toufic Safa, MDVascular SurgeryGreat Neck, NY77
Paul YangVascular SurgeryBrooklyn, NY75
John Lucas, M.D.General SurgeryGreenwood, MS73
Vinh Nguyen, MDOrthopedic SurgeryBirmingham, AL69
Marvin Isbell, MDGeneral SurgeryNorman, OK63
Mark London, M.D.General SurgeryChicago, IL54
Mark Mantell, M.D.Vascular SurgeryPhiladelphia, PA54
Bernardino Rocha, M.D.Vascular SurgeryOklahoma City, OK52
Jason Woolard, MDVascular SurgeryWichita, KS52

Browse doctors by specialty & city →

Does Medicare cover Dialysis fistula creation?

Yes — Medicare generally covers Dialysis fistula creation. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $601. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $120 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1378 US hospitals across 52 states, the typical (median) cash price is $5,110, versus a chargemaster (list) price around $10,297, a median insurer-negotiated rate of $3,367, a Medicare rate of about $601. Most cash prices fall between $1,235 and $16,158 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Dialysis fistula creation cost without insurance?
The median cash (self-pay) price across 1378 US hospitals is $5,110. Most hospitals fall between $1,235 and $16,158. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Dialysis fistula creation?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $601). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Dialysis fistula creation?
Medicare pays about $601. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Dialysis fistula creation prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

Related Surgery & Procedures

See more Surgery & Procedures.