APC 05401

Dialysis treatment

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Dialysis

Payers reporting APC 05401

Payer pricing summary

Low

$579

Average

$959

Median

$818

High

$2.5k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +2 other terms	86	$683	$679	$31	5%	—	$502 – $727
2	Caresource fee schedule · outpatient	20	$704	$703	$3	0%	—	$698 – $707
3	UnitedHealthcare facility · fee schedule · outpatient · +3 other terms	15	$793	$1.1k	$859	80%	—	$386 – $3.8k
4	Medicare facility · fee schedule · outpatient · +2 other terms	12	$707	$772	$96	12%	—	$624 – $883
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	11	$660	$680	$9	1%	—	$660 – $686
6	Aetna facility · fee schedule · outpatient · +3 other terms	10	$706	$1.0k	$588	58%	—	$634 – $2.1k
7	Molina facility · fee schedule · outpatient · +1 other terms	7	$912	$910	$121	13%	—	$731 – $1.1k
8	Clover fee schedule · outpatient	5	$720	$717	$4	1%	—	$711 – $720
9	Kaiser fee schedule · outpatient · +2 other terms	5	$707	$703	$4	1%	—	$698 – $707
10	WellCare fee schedule · outpatient · +2 other terms	5	$707	$703	$4	1%	—	$698 – $707
11	Ambetter facility · fee schedule · outpatient	4	$1.1k	$1.2k	$205	17%	—	$869 – $1.3k
12	Cigna facility · fee schedule · outpatient · +1 other terms	4	$2.1k	$2.1k	$763	36%	—	$740 – $2.8k
13	Tricare facility · fee schedule · outpatient · +1 other terms	4	$771	$763	$49	6%	—	$701 – $811
14	Amerihealth Caritas facility · fee schedule · outpatient	3	$1.1k	$997	$402	40%	—	$682 – $1.5k
15	Carefirst facility · fee schedule · outpatient	3	$811	$780	$43	6%	—	$719 – $811
16	Devoted facility · fee schedule · outpatient	3	$717	$707	$17	2%	—	$676 – $717
17	Medica facility · fee schedule · outpatient	3	$736	$736	—	—	—	$736 – $736
18	Bcbs Ca facility · fee schedule · outpatient	2	$2.7k	$2.5k	$1.2k	46%	—	$878 – $3.3k
19	MultiPlan facility · other · outpatient · +1 other terms	2	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
20	Aetna Better Health facility · fee schedule · outpatient	1	$579	$579	$193	33%	—	$386 – $772
21	Cigna Healthspring facility · fee schedule · outpatient	1	$661	$661	—	—	—	$661 – $661
22	Highmark facility · fee schedule · outpatient · +1 other terms	1	$662	$662	$45	7%	—	$607 – $712
23	Optum fee schedule · both	1	$857	$857	—	—	—	$857 – $857
24	Oscar facility · fee schedule · outpatient	1	$966	$966	—	—	—	$966 – $966