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
AV DIAL FIS/GRFT-OTHER ACS-RT
Washington, PA
See all hospitals reporting CPT 75791 →Price type
UPMC Washington’s median price of $292 is 67% below the median hospital's median price ($880), higher than 18% of the 328 hospitals reporting CPT 75791. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 | Aetna advantra washington prime facility · percent of total billed charges · outpatientfrom % of charges | $172 | $229 | $81 | 35% | — | $172 – $344 |
| 2 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $172 | $229 | $81 | 35% | — | $172 – $344 |
| 3 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $185 | $247 | $87 | 35% | — | $185 – $370 |
| 4 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $215 | $287 | $101 | 35% | — | $215 – $430 |
| 5 | Aetna auto/workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $229 | $306 | $108 | 35% | — | $229 – $459 |
| 6 | Aetna cofinity/firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $237 | $315 | $112 | 35% | — | $237 – $473 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $237 | $315 | $112 | 35% | — | $237 – $473 |
| 8 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $258 | $344 | $122 | 35% | — | $258 – $516 |
| 9 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $310 | $413 | $146 | 35% | — | $310 – $619 |
Last updated: Mar 6, 2026
See Imaging of dialysis access shunt pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.