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
HB Thrmbc/Nfs Dialysis Circuit; S&I
Low
$443
Average
$7.3k
Median
$6.9k
High
$21.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
67 payers; the 90th percentile is 2.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medicare other · both · +20 other terms | 37 | $5.8k | $6.1k | $761 | 12% | 20–83 | $5.2k – $8.0k |
| 2 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 565 | $5.8k | $8.0k | $9.2k | 115% | 8–80 | $1 – $167.5k |
| 3 | Humana fee schedule · outpatient · +29 other terms | 362 | $5.7k | $5.9k | $4.9k | 83% | 4–40 | $1 – $34.3k |
| 4 | Anthem fee schedule · outpatient · +28 other terms | 138 | $4.4k | $4.5k | $7.0k | 156% | 4–40 | $133 – $41.6k |
| 5 | Aetna fee schedule · outpatient · +36 other terms | 504 | $6.2k | $8.0k | $6.6k | 83% | 3–30 | $1 – $53.3k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +32 other terms | 394 | $7.9k | $10.0k | $6.0k | 60% | 1–10 | $0 – $69.4k |
| 7 | First Health fee schedule · outpatient · +24 other terms | 57 | $10.5k | $12.7k | $10.1k | 79% | 1–10 | $373 – $34.3k |
| 8 | Cigna case rate · outpatient · +30 other terms | 247 | $7.2k | $12.5k | $7.8k | 62% | — | $1 – $40.7k |
| 9 | Molina fee schedule · outpatient · +29 other terms | 229 | $4.2k | $4.2k | $2.8k | 66% | — | $1 – $16.1k |
| 10 | WellCare fee schedule · outpatient · +22 other terms | 161 | $5.9k | $6.0k | $2.4k | 40% | — | $392 – $13.4k |
| 11 | Oscar case rate · outpatient · +21 other terms | 128 | $10.6k | $9.3k | $2.9k | 31% | — | $3.5k – $19.3k |
| 12 | Kaiser fee schedule · outpatient · +26 other terms | 111 | $7.2k | $8.3k | $6.7k | 80% | — | $20 – $41.0k |
| 13 | MultiPlan fee schedule · outpatient · +21 other terms | 84 | $14.3k | $12.5k | $8.5k | 68% | — | $315 – $44.0k |
| 14 | Aetna Better Health fee schedule · outpatient · +18 other terms | 83 | $3.0k | $3.2k | $1.3k | 43% | — | $413 – $20.0k |
| 15 | Ambetter fee schedule · outpatient · +18 other terms | 81 | $9.6k | $8.6k | $4.7k | 55% | — | $983 – $26.2k |
| 16 | Devoted facility · fee schedule · outpatient · +17 other terms | 77 | $5.8k | $5.8k | $755 | 13% | — | $182 – $7.4k |
| 17 | Caresource fee schedule · outpatient · +20 other terms | 62 | $5.8k | $8.3k | $4.5k | 54% | — | $1 – $13.1k |
| 18 | Highmark facility · fee schedule · outpatient · +22 other terms | 54 | $6.5k | $6.7k | $5.8k | 87% | — | $206 – $25.8k |
| 19 | Healthcare Highways case rate · outpatient · +5 other terms | 47 | $5.8k | $7.5k | $5.1k | 68% | — | $2.1k – $14.6k |
| 20 | Tricare fee schedule · outpatient · +21 other terms | 47 | $6.1k | $10.1k | $11.2k | 111% | — | $364 – $50k |
| 21 | Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms | 46 | $415 | $2.6k | $3.2k | 123% | — | $280 – $12.8k |
| 22 | Optum fee schedule · outpatient · +22 other terms | 40 | $5.9k | $13.9k | $16.0k | 115% | — | $1 – $67.7k |
| 23 | Superior Healthplan case rate · outpatient · +6 other terms | 38 | $948 | $1.1k | $1.1k | 97% | — | $929 – $8.6k |
| 24 | Cigna Healthspring fee schedule · outpatient · +10 other terms | 36 | $5.7k | $4.7k | $1.6k | 33% | — | $2.5k – $6.1k |
| 25 | Clover fee schedule · outpatient · +11 other terms | 33 | $6.2k | $6.1k | $377 | 6% | — | $5.1k – $6.9k |
← Hospitals reporting CPT 36904 · Snapshot 20261112T124536Z-e251e855