HCPCS G2170
Percutaneous arteriovenous fistula creation (avf), direct, any site, by tissue approximation using thermal resistance energy, and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization) when performed, and includes all imaging and radiologic guidance, supervision and interpretation, when performed
Retired codeA-V Fistula Creation19 hospitals with prices
This code is retired. Some hospitals still list it. CMS replaced it with CPT 36836.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $33,254 – $54,515 | — | — |
| Kadlec Regional Medical Center | $59,137 | — | — |
| Legacy Salmon Creek Medical Center | $7,920 – $65,854 | — | — |
| MultiCare Auburn Medical Center | $26,612 – $50,211 | — | — |
| MultiCare Covington Medical Center | $26,612 – $50,211 | — | — |
| MultiCare Good Samaritan Hospital | $26,612 – $50,211 | — | — |
| Overlake Hospital Medical Center & Clinics | $23,910 – $71,730 | — | — |
| PeaceHealth Southwest Medical Cente | — | $22,779 | $35,045 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $33,603 – $49,414 | — | — |
| Providence Centralia Hospital | $10,122 – $93,249 | — | — |
| Providence Holy Family Hospital | $11,241 | — | — |
| Providence Regional Medical Center Everett | $13,908 – $60,412 | — | — |
| Providence St Peter Hospital | $27,982 – $74,918 | — | — |
| Swedish Edmonds Hospital | $4,912 – $80,656 | — | — |
| Swedish Issaquah | $17,257 – $81,772 | — | — |
| Swedish Medical Center | $77,628 – $81,772 | — | — |
| Swedish Medical Center / Cherry Hill | $74,758 – $77,946 | — | — |
| Tacoma General Allenmore Hospital | $26,612 – $37,156 | — | — |
| Yakima Valley Memorial | $26,448 – $43,357 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.