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
$691
Median
$782
High
$2.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
81 hospitals; the 90th percentile is 152.0× 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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91 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 2 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 2 | $1.0k | $1.0k | $268 | 26% | — | $769 – $1.3k |
| 3 | CHRISTUS Health - Pine Street Texarkana, TX fee schedule · outpatient | 2 | $1.1k | $1.1k | $59 | 6% | — | $1.0k – $1.1k |
| 4 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 2 | $840 | $840 | $187 | 22% | — | $653 – $1.0k |
| 5 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 2 | $840 | $840 | $187 | 22% | — | $653 – $1.0k |
| 6 | CLAIBORNE MEDICAL CENTER Tazewell, TN case rate · outpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
| 7 | CLAIBORNE MEDICAL CENTER Tazewell, TN other · outpatient | 3 | $314 | $321 | $47 | 15% | — | $268 – $382 |
| 8 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 9 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN case rate · outpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 14 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN other · outpatient | 3 | $314 | $321 | $47 | 15% | — | $268 – $382 |
| 15 | Central Louisiana Surgical Hospital Alexandria, LA fee schedule · outpatient | 1 | $372 | $372 | — | — | — | $372 – $372 |
| 16 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 2 | $840 | $840 | $187 | 22% | — | $653 – $1.0k |
| 17 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 2 | $840 | $840 | $187 | 22% | — | $653 – $1.0k |
| 18 | Clara Maass Medical Center Belleville, NJ other · outpatient | 4 | $1.4k | $1.4k | $116 | 8% | — | $1.3k – $1.5k |
| 19 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 20 | Community Medical Center Toms River, NJ other · outpatient | 4 | $1.4k | $1.4k | $116 | 8% | — | $1.3k – $1.5k |
| 21 | Cooperman Barnabas Medical Center Livingston, NJ other · outpatient | 4 | $1.4k | $1.4k | $116 | 8% | — | $1.3k – $1.5k |
| 22 | Coushatta Health Care Center Coushatta, LA fee schedule · outpatient | 1 | $504 | $504 | — | — | — | $504 – $504 |
| 23 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN case rate · outpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
| 24 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN other · outpatient | 3 | $314 | $322 | $48 | 15% | — | $268 – $385 |
| 25 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN case rate · outpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
← Payers reporting CPT 4055F · Snapshot 20261113T090226Z-3ce6c0b8