go back

Splenorenal Shunt for High Portal Pressure

Washington, DC rates for HCPCS 37181

Surgery that joins the vein draining the spleen to the vein draining the left kidney, relieving dangerously high pressure in the veins of the digestive system caused by liver disease. Diverting some blood away from those veins lowers the risk of bleeding from swollen veins in the gullet and stomach. It is a major open abdominal operation.

Rates data updated October 2026.

How much does Splenorenal Shunt for High Portal Pressure cost?

$2,692

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $2,692 for this service. Most negotiated rates run $2,291 to $3,467.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $427 to $6,310Professionalmedian $2,818 · 10th to 90th $2,042 to $6,457
$500$1K$2K$5K$10Kfacility $2,138professional $2,818

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$2,951.21
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,951.21
Typical High
$2,951.21
CareFirst
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,290.87
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,754.23
Typical High
$6,165.95
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$4,786.30
Median
$5,248.07
Typical High
$5,370.32
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,412.54
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$3,467.37
Typical High
$7,244.36

Where Washington, DC sits

The same service costs 6.2 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 29th of 51

$2,692

AK $9,333DE $1,514

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.