How Much Does Av Fistula Revision Open Cost?
Also known as: Av fistula revision open (CPT 36832)
Arteriovenous fistula revision surgery for dialysis access.
The total estimated cost of Av Fistula Revision Open (CPT 36832) is $2,313 to $4,337, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $688.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Av Fistula Revision Open
What you need to know before your appointment
What to Expect
The surgeon revises or repairs a malfunctioning dialysis fistula to restore adequate blood flow for hemodialysis.
How Long Does It Take?
1-2 hours
Common Reasons Doctors Order This
Narrowed dialysis fistula, poor dialysis flow rates, fistula not maturing properly
How to Prepare
This may be done urgently to maintain dialysis access. Follow surgeon instructions.
Procedures Commonly Done Together
These procedures are frequently performed alongside Av fistula revision open
How to Reduce Your Cost for Av fistula revision open
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (20.61) x CF ($33.40) = $688
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Av fistula revision open cost?
The Medicare facility rate for Av fistula revision open is $688. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Av fistula revision open cost without insurance?
Without insurance, the cost of Av fistula revision open can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Av fistula revision open?
Most commercial health insurance plans and Medicare cover Av fistula revision open when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.