CPT 4055F
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
Pt rcvng periton dialysis
Low
$0
Average
$7.2k
Median
$693
High
$45.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 2826281.7× 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 | UnitedHealthcare fee schedule · outpatient · +5 other terms | 38 | $1.0k | $1.0k | $473 | 46% | — | $107 – $2.3k |
| 2 | Bcbs Tx per diem · outpatient | 30 | $502 | $493 | $92 | 19% | — | $314 – $663 |
| 3 | Aetna fee schedule · outpatient · +6 other terms | 27 | $0 | $0 | $0 | 67% | — | $0 – $0 |
| 4 | Humana per diem · outpatient · +6 other terms | 25 | $732 | $760 | $117 | 15% | — | $682 – $1.3k |
| 5 | Anthem fee schedule · outpatient · +5 other terms | 17 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Caresource facility · case rate · outpatient · +3 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $17 |
| 7 | Molina facility · case rate · outpatient · +2 other terms | 15 | $10 | $11 | $2 | 23% | — | $7 – $16 |
| 8 | Wellmark fee schedule · both | 13 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Optum facility · case rate · outpatient | 11 | $9 | $10 | $2 | 22% | — | $8 – $15 |
| 10 | Oscar other · both · +2 other terms | 10 | $1k | $1k | — | — | — | $1k – $1k |
← Hospitals reporting CPT 4055F · Snapshot 20261113T090226Z-3ce6c0b8