Dialysis fistula creation Cost by Hospital

Dialysis fistula creation is a surgical procedure. Prices are from 1356 US hospitals across 52 states, from their machine-readable files.

$5,484median cash price · 1356 hospitals, 52 statestypically $1,236–$16,673 depending on the hospital
≈ 9.1× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$10,472
Cash / self-pay
$5,484
Insurer-negotiated
$3,370
Medicare pays
$601
$1,236$16,673
Median cash $5,484  ·  Medicare $601  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $5,484 — about 9.1× 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 $10,472 list price could save about $4,988 (48%).

Estimate what you’ll pay
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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
Bassett Healthcare Cooperstown, NY $850 $937 ★ 2/5 199 min 15.6%
Hospital De La Concepcion San German, PR $852 $2,341 — — 16.2%
Artesia General Hospital Artesia, NM $859 $1,317 — 101 min 15.0%
Conway Medical Center Conway, SC $862 $598 ★ 2/5 134 min 15.6%
Southwestern Vermont Medical Center Bennington, VT $876 — ★ 3/5 196 min 15.8%
Boone Hospital Center Columbia, MO $882 — ★ 4/5 176 min 13.6%
Montgomery General Hospital Montgomery, WV $892 $4,355 — 110 min 14.7%
Red Bud Regional Hospital Red Bud, IL $907 $1,554 ★ 4/5 121 min 15.6%
Deaconess Hospital Inc Evansville, IN $907 $769 ★ 2/5 189 min 15.3%
The Women's Hospital Newburgh, IN $907 $904 ★ 5/5 128 min —
Deaconess Henderson Hospital Henderson, KY $907 $938 ★ 2/5 127 min 15.1%
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 — 14.3%
Regional West Medical Center Scottsbluff, NE $977 $1,177 ★ 2/5 201 min 14.9%
Crystal Clinic Orthopaedic Center Akron, OH $983 $781 ★ 5/5 — 14.3%
University of Texas Medical Branch Galveston Galveston, TX $1,002 $1,118 ★ 3/5 191 min 16.0%
Ellis Hospital Schenectady, NY $1,009 $718 ★ 3/5 232 min 14.9%
Margaret Mary Community Hospital Inc Batesville, IN $1,054 $696 — 132 min 15.1%
Hopedale Hospital Hopedale, IL $1,079 $375 — 132 min 14.9%
University of Michigan Health System Ann Arbor, MI $1,083 $941 ★ 4/5 358 min 15.3%
Contra Costa Regional Medical Center Martinez, CA $1,086 — ★ 4/5 175 min 14.2%
Grant Memorial Hospital Petersburg, WV $1,151 — ★ 3/5 105 min 15.4%
Altru Hospital Grand Forks, ND $1,155 $3,577 ★ 3/5 167 min 13.9%
Potomac Valley Hospital Keyser, WV $1,194 — ★ 1/5 118 min 15.5%

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 August 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: $5,484; Medicare pays $601.

InsurerHospitalsNegotiated median
Medicaid 132
$236
$45 – $1,507
Medicare 250
$309
$50 – $3,221
Univera 13
$450
$51 – $811
Tricare / VA 181
$612
$54 – $3,725
MVP Health Care 51
$672
$549 – $5,198
AmeriHealth 127
$726
$116 – $3,730
Independent Health 24
$731
$270 – $920
Highmark 76
$776
$135 – $6,305
Priority Health 33
$1,039
$307 – $4,394
Geisinger 38
$1,050
$116 – $3,470
Amerigroup 113
$1,174
$270 – $3,048
Workers' Comp / No-Fault 44
$1,177
$1,177 – $4,905
Molina Healthcare 384
$1,230
$284 – $4,017
Sanford Health Plan 27
$1,388
$321 – $5,264
Health Net 117
$1,507
$222 – $6,793
Centene / Ambetter 496
$1,507
$222 – $4,178
UCare 37
$1,548
$419 – $5,570
Blue Cross Blue Shield 759
$1,815
$108 – $8,924
HealthPartners 87
$1,937
$222 – $5,494
Medica 60
$1,959
$440 – $4,801
MultiPlan / PHCS network 216
$2,009
$222 – $10,465
Harvard Pilgrim 21
$2,197
$235 – $6,417
UPMC Health Plan 58
$2,987
$673 – $7,439
Coventry 49
$3,015
$705 – $7,443
Security Health Plan 29
$3,042
$239 – $12,277
Humana 628
$3,149
$344 – $25,831
Devoted Health 105
$3,163
$2,878 – $3,733
Anthem 345
$3,163
$222 – $11,310
UnitedHealthcare 881
$3,367
$444 – $14,212
Aetna 824
$3,445
$612 – $12,895
Kaiser Permanente 144
$3,803
$262 – $15,202
SelectHealth 35
$4,120
$872 – $7,995
Bright Health 43
$4,787
$272 – $10,969
Oscar Health 135
$4,922
$544 – $12,518
Healthcare Highways 32
$5,475
$4,988 – $6,287
Cigna 612
$6,004
$1,365 – $23,865
EmblemHealth 49
$7,062
$2,446 – $24,910
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$1,429
Montana$1,607
Iowa$1,622

Prices by city

Chicago, ILAustin, TXCincinnati, OHDallas, TXFort Worth, TXHouston, TXNew York, NYSacramento, CABrooklyn, NYCharlotte, NCCleveland, OHLos Angeles, CAPlano, TXSan Antonio, TXArlington, TXBronx, NYNashville, TNPhiladelphia, PARochester, NYSan Francisco, CAAlbuquerque, NMAurora, COColorado Springs, CODenton, TX

Prices by state

TexasCaliforniaOhioFloridaWisconsinNew YorkIllinoisMinnesotaPennsylvaniaTennesseeColoradoMichiganNorth CarolinaNew JerseyLouisianaIndianaWashingtonGeorgiaMissouriIowaWest VirginiaVirginiaKansasArkansasMaineSouth CarolinaMississippiArizonaOklahomaMassachusettsNebraskaIdahoAlabamaUtahKentuckyConnecticutNew MexicoNew HampshireNevadaWyomingSouth DakotaMontanaDelawareNorth DakotaOregonHawaii

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 1356 US hospitals across 52 states, the typical (median) cash price is $5,484, versus a chargemaster (list) price around $10,472, a median insurer-negotiated rate of $3,370, a Medicare rate of about $601. Most cash prices fall between $1,236 and $16,673 — 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 1356 US hospitals is $5,484. Most hospitals fall between $1,236 and $16,673. 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.

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