Price Checker / CPT 36819
CPT 36819 — Av fuse uppr arm basilic
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$664
What Medicare pays in a hospital/ASC setting
$664
What Medicare pays in a physician's office
$34,187
Based on 8 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 36819
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| "HSHS St. Anthony's Memorial Hospital" , IL | $38,378 | $27,632 | 5683% |
| BMC Baytown Hospital Baytown, TX | $47,123 | — | 5580% |
| BMC North Hospital Houston, TX | $47,123 | — | 5580% |
| Independence Heights Hospital Houston, TX | $47,123 | — | 5580% |
| "HSHS St. Mary's Hospital" , IL | $36,627 | $26,371 | 5419% |
| Sherman Oaks Hospital , CA | $29,096 | $8,925 | 4284% |
| Jackson Park Hospital Chicago, IL | $16,825 | — | 2435% |
| Dardanelle Regional Medical Center Dardanelle, AR | $11,202 | — | 1588% |
Were you billed for this procedure?
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About CPT 36819
CPT code 36819 refers to “Av fuse uppr arm basilic”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $664 in a facility (hospital or ambulatory surgery center) and $664in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.