Price Checker / CPT 36831
How much does Open Thrombect Av Fistula cost?
CPT 36831 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 17x the fair price — among the most extreme markups. Dispute this.
Fair price
$850–$1,700
What this should cost
With insurance
~$3,900
Typical out-of-pocket
Overcharged if over
$2,150
Push back above this
The average hospital charge of $21,727 is $20,427 over the fair price (about 17x the fair rate).
What hospitals charge for Open Thrombect Av Fistula
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stony Brook Southampton Hospital , NY | $35,639 | — | 13338% |
| Tanner Medical Center/Villa Rica Villa Rica, GA | $39,088 | — | 6325% |
| Vaughan Regional Medical Center Parkway Campus Selma, AL | $21,407 | — | 3683% |
| Dardanelle Regional Medical Center Dardanelle, AR | $11,010 | — | 1846% |
| King's Daughters Medical Center ASHLAND, MS | $1,494 | — | 1748% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Open Thrombect Av Fistula
CPT code 36831 refers to open thrombect av fistula (billing description: "Open thrombect av fistula"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $566 in a facility (hospital or surgery center) and $566 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.