Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
Tehachapi, CA
See all hospitals reporting CPT 36904 →Price type
Adventist Health Medical Center Tehachapi’s median price of $369 is 94% below the median hospital's median price ($6.4k), higher than 2% of the 1,983 hospitals reporting CPT 36904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid medi-cal fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 2 | Blue Cross Blue Shield tricare blue shield fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 3 | UnitedHealthcare uhc mcr adv fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 4 | Aetna aetna-all plans fee schedule · outpatient | $332 | $332 | — | — | — | $332 – $332 |
| 5 | Oscar oscar health plan- all plans fee schedule · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 6 | Cigna cigna- all plans fee schedule · outpatient | $386 | $386 | — | — | — | $386 – $386 |
| 7 | UnitedHealthcare uhc all payer- all other plans fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 8 | UnitedHealthcare uhc jll csp fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 9 | Blue Cross Blue Shield blue shield epn- all other plans fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 10 | Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 11 | Blue Cross Blue Shield blue cross non-mcs- all other plans fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
Last updated: May 21, 2026
See Dialysis access clot removal using catheter procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.