How much does Medicare pay for CPT 36830?

Medicare allowed an average of $761.36 per service and paid $603.88 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2417.14, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 36830?

Creation of artery-vein connection using tube graft for hemodialysis. It was billed 3,632 times to 3,533 Medicare beneficiaries by 206 providers in 2024.

Does 36830 pay differently in an office than a hospital?

Yes. The allowed amount averaged $737.14 in an office setting and $761.45 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 36830 most?

Vascular Surgery, with 1,840 services from 108 clinicians. Next are General Surgery, Ambulatory Surgical Center, Physician Assistant.

CPT 36830

Creation of artery-vein connection using tube graft for hemodialysis

$761.36Medicare-allowed amount per service, averaged across 3,632 services

Providers submitted

$2417.14

Asking price, not received

Medicare allowed

$761.36

The fee schedule figure

Medicare paid

$603.88

Balance is patient coinsurance

Providers submitted an average of $2417.14 for this code and Medicare allowed $761.36 — 3.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $603.88 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $737.14
Hospital / facility: $761.45

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 13 services were billed in an office setting and 3,619 in a facility.

Services: 3,632
Beneficiaries: 3,533
Providers billing it: 206
Total allowed: $2,765,260

What Medicare pays for CPT 36830

Across 3,632 services billed by 206 providers to 3,533 beneficiaries, Medicare allowed an average of $761.36 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 36830

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	1,840	1,785	$631.88	108
General Surgery	978	948	$630.94	51
Ambulatory Surgical Center	279	277	$2893.74	12
Physician Assistant	182	177	$90.14	12
Nurse Practitioner	95	95	$86.80	6
Thoracic Surgery	79	77	$570.55	5
Nephrology	63	60	$589.80	4
Cardiac Surgery	42	40	$613.61	3
Internal Medicine	33	33	$622.50	2
Diagnostic Radiology	18	18	$621.97	1
Undefined Physician type	12	12	$641.57	1
Orthopedic Surgery	11	11	$554.55	1

36830 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	430	$846.31	$626.49	26
Florida	370	$465.71	$330.85	21
Texas	367	$573.21	$455.92	22
Michigan	226	$1081.39	$812.85	12
New Jersey	185	$619.05	$461.93	6
Alabama	171	$522.69	$447.53	11
Illinois	162	$891.93	$748.92	8
South Carolina	155	$856.64	$721.48	8
Arizona	143	$1504.89	$1277.07	5
New York	134	$1369.21	$942.17	7
Louisiana	133	$615.09	$502.30	8
Maryland	110	$678.65	$501.23	7
North Carolina	107	$960.64	$793.28	7
Missouri	87	$455.94	$368.38	6
District of Columbia	78	$586.90	$436.72	2
Tennessee	72	$580.08	$508.92	3
Georgia	69	$619.53	$485.37	5
Pennsylvania	61	$647.46	$499.26	4
Virginia	61	$1039.41	$874.77	5
Indiana	56	$1003.90	$859.34	4
Nevada	54	$1292.05	$986.42	4
Mississippi	50	$586.59	$504.56	1
Kentucky	44	$581.66	$482.53	3
Connecticut	42	$512.72	$374.72	3
Oregon	37	$595.79	$488.00	3
Idaho	33	$592.32	$492.47	1
Kansas	27	$601.85	$491.99	2
Nebraska	27	$551.29	$499.35	2
Rhode Island	24	$612.98	$508.35	2
Hawaii	18	$592.85	$485.87	1
Delaware	18	$636.98	$509.60	1
Guam	17	$607.36	$477.26	1
Massachusetts	15	$628.07	$494.52	1
Northern Mariana Islands	14	$604.85	$497.70	1
Arkansas	12	$571.89	$509.60	1
Oklahoma	12	$618.93	$502.09	1
Colorado	11	$707.90	$510.22	1

Related codes

36821Relocation of arm vein$674.97
36832Revision of hemodialysis graft$901.69

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.