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
$4.9k
Median
$2.9k
High
$13.1k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 1130711.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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29 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | "Savoy Medical Management Group, Inc." Mamou, LA facility · case rate · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 2 | East Cooper Medical Center LLC Mt Pleasant, SC other · outpatient | 2 | $1.0k | $1.0k | $158 | 15% | — | $864 – $1.2k |
| 3 | HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient | 4 | $13.7k | $13.1k | $1.8k | 14% | — | $10.3k – $14.7k |
| 4 | HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient | 4 | $13.7k | $13.1k | $1.8k | 14% | — | $10.3k – $14.7k |
| 5 | Hardin County General Hospital Savannah, TN facility · other · outpatient | 1 | $549 | $549 | — | — | — | $549 – $549 |
| 6 | Northside Hospital, Inc. Lawrenceville, GA case rate · outpatient | 4 | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 7 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 8 | Northside Hospital, Inc. Atlanta, GA case rate · outpatient | 4 | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 9 | Northside Hospital, Inc. Atlanta, GA other · outpatient | 1 | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 10 | Northside Hospital, Inc. Cumming, GA case rate · outpatient | 4 | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 11 | Northside Hospital, Inc. Cumming, GA other · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 12 | Northside Hospital, Inc. Duluth, GA case rate · outpatient | 4 | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 13 | Northside Hospital, Inc. Duluth, GA other · outpatient | 1 | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 14 | Northside Hospital, Inc. Canton, GA case rate · outpatient | 4 | $12.0k | $12.0k | — | — | — | $12.0k – $12.0k |
| 15 | Northside Hospital, Inc. Canton, GA other · outpatient | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 16 | Saint Thomas Hickman Hospital Centerville, TN fee schedule · outpatient | 5 | $2.2k | $2.9k | $1.4k | 48% | — | $2.1k – $5.6k |
| 17 | Saint Thomas Regional Hospitals McMinnville, TN fee schedule · outpatient | 5 | $2.2k | $2.9k | $1.4k | 48% | — | $2.1k – $5.6k |
| 18 | Saint Thomas Regional Hospitals Smithville, TN fee schedule · outpatient | 5 | $2.2k | $2.9k | $1.4k | 48% | — | $2.1k – $5.6k |
| 19 | Saint Thomas Regional Hospitals Sparta, TN fee schedule · outpatient | 5 | $2.2k | $2.9k | $1.4k | 48% | — | $2.1k – $5.6k |
| 20 | Saint Thomas Regional Hospitals Woodbury, TN fee schedule · outpatient | 7 | $2.2k | $2.7k | $1.2k | 45% | — | $2.1k – $5.6k |
| 21 | Saint Thomas Rutherford Hospital Murfreesboro, TN fee schedule · outpatient | 7 | $2.2k | $3.7k | $1.8k | 48% | — | $2.1k – $6.1k |
| 22 | Saint Thomas West Hospital Nashville, TN fee schedule · outpatient | 6 | $2.2k | $3.4k | $1.8k | 51% | — | $2.1k – $6.2k |
| 23 | Saint Thomas West Hospital Nashville, TN fee schedule · both | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 24 | Saint Thomas West Hospital Nashville, TN fee schedule · outpatient | 2 | $2.9k | $2.9k | $141 | 5% | — | $2.8k – $3.1k |
| 25 | Vanderbilt Bedford Hospital Shelbyville, TN fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 4055F · Snapshot 20261113T090226Z-3ce6c0b8