CPT� 36903 — Av Dialysis Circuit W/Stent Peripheral Segment
Cite this view
HANK Price Transparency. (n.d.). Av Dialysis Circuit W/Stent Peripheral Segment (OTHER CPT� 36903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/CPT� 36903?code_type=OTHER
“Av Dialysis Circuit W/Stent Peripheral Segment (OTHER CPT� 36903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/CPT� 36903?code_type=OTHER. Accessed .
“Av Dialysis Circuit W/Stent Peripheral Segment (OTHER CPT� 36903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/CPT� 36903?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,738–$23,517 (25th–75th percentile) across 4 hospitals · 12 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER CPT� 36903 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Aetna Medicare Advantage | — | $296.41 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Anthem Blue Cross Blue Shield Medicare Advantage Hmo/Ppo | — | $296.41 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Aetna Medicare Advantage | — | $296.41 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Anthem Blue Cross Blue Shield Medicare Advantage Hmo/Ppo | — | $296.41 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Anthem Blue Cross Blue Shield Medicare Advantage Hmo/Ppo | — | $296.41 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Aetna Medicare Advantage | — | $296.41 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Aetna Medicare Advantage | — | $296.41 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Anthem Blue Cross Blue Shieldmedicare Advantage Hmo/Ppo | — | $296.41 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Anthem Blue Cross Blue Shield Medicaid | — | $4,411.40 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Anthem Blue Cross Blue Shield Medicaid | — | $4,411.40 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Anthem Blue Cross Blue Shield Medicaid | — | $4,411.40 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Anthem Blue Cross Blue Shieldmedicaid Hmo-Badgercare Plus/Ssi | — | $4,411.40 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial Hmo/Ppo/Pos/Epo (Aca On/Off Exchange Plans) | — | $13,642.34 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial - United Behavioral Health | — | $16,436.55 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial - United Behavioral Health | — | $16,436.55 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial - United Behavioral Health | — | $16,436.55 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial Hmo/Ppo/Pos/Epo (Aca On/Off Exchange Plans) | — | $20,988.21 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | United Healthcare Of Wisconsin, Inc. Commercial Hmo/Ppo/Pos/Epo (Aca On/Off Exchange Plans) | — | $20,988.21 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Hmo/Pos/Ppo | — | $21,241.08 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $21,241.08 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Hmo/Pos/Ppo | — | $21,241.08 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $21,241.08 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Anthem Blue Cross Blue Shield Blue Access/Hmo/Pos/Ppo | — | $21,241.08 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $21,241.08 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $21,493.95 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $21,493.95 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $21,493.95 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Anthem Blue Cross Blue Shield Blue Access/ Traditional - Ppo/Par | — | $21,746.82 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Anthem Blue Cross Blue Shield Blue Preferred - Hmo/Pos | — | $21,746.82 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | United Healthcare Commercial Hmo/Ppo/ Pos/Epo (Aca On/Off Exchange) | — | $22,556.00 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $22,758.30 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $22,758.30 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $22,758.30 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | First Health Group Corp National Rental Ppo Network | — | $22,758.30 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $22,758.30 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | First Health Group Corp National Rental Ppo Network | — | $22,758.30 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Cigna Ppo And Open Access Plus Benefits | — | $22,758.30 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Humana Commercial Hmo/Ppo/ Pos/Epo And Traditional Indemnity Plans | — | $23,264.04 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Multiplan, Inc. Health Eos Ppo/Phcs Ppo Networks | — | $23,516.91 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Health Eos Ppo Networks | — | $23,516.91 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Phcs Ppo Networks | — | $23,516.91 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Multiplan, Inc. Health Eos Ppo/Phcs Ppo Networks | — | $23,516.91 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Multiplan, Inc. Health Eos Ppo/Phcs Ppo Networks | — | $23,516.91 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Multiplan And Other Brand Affiliated Ppo Networks | — | $24,022.65 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Multiplan, Inc. Multiplan Ppo Networks | — | $24,022.65 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Multiplan, Inc. Multiplan Ppo Networks | — | $24,022.65 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Multiplan, Inc. Multiplan Ppo Networks | — | $24,022.65 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS STANLEY HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $24,275.52 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $24,275.52 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |
| ASPIRUS TOMAHAWK HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $24,275.52 | $25,287.00 | $16,436.55 | 2026-07-30 | MRF ↗ |
| ASPIRUS MERRILL HOSPITAL | Multiplan, Inc. Aetna Health Plan Ppo Networks | — | $24,275.52 | $25,287.00 | $16,436.55 | 2026-08-01 | MRF ↗ |
| ASPIRUS RIVERVIEW HOSPITAL & CLINICS INC | Cigna Ppo And Open Access Plus Benefits | — | $24,528.39 | $25,287.00 | $16,436.55 | 2026-07-31 | MRF ↗ |