Non-hemodialysis kidney dialysis with repeated physician evaluations

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

Continuous Ambulatory Peritoneal Dialysis (Capd) Inpatient

Tricare pricing summary

Low

$93

Average

$1.7k

Median

$118

High

$25.1k

Tricare rate distribution

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35 hospital rates

#		Plans
1	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$106	$106	$9	8%	—	$97 – $114
2	AnMed Health Anderson, SC professional · fee schedule · inpatient	1	$117	$117	—	—	—	$117 – $117
3	AnMed Health Anderson, SC professional · fee schedule · outpatient	1	$117	$117	—	—	—	$117 – $117
4	AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient	1	$117	$117	—	—	—	$117 – $117
5	AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient	1	$117	$117	—	—	—	$117 – $117
6	AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient	1	$117	$117	—	—	—	$117 – $117
7	AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient	1	$117	$117	—	—	—	$117 – $117
8	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$50k	$50k	—	—	—	$50k – $50k
9	Anderson Hospital Maryville, IL professional · other · outpatient	1	$118	$118	—	—	—	$118 – $118
10	COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient	4	$116	$116	$9	8%	—	$107 – $126
11	Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient	1	$93	$93	—	—	—	$93 – $93
12	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$220	$220	—	—	—	$220 – $220
13	Charleston Area Medical Center Charleston, WV percent of total billed charges · inpatientfrom % of charges	1	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
14	Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges	1	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
15	Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient	1	$95	$95	—	—	—	$95 – $95
16	Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both	1	$112	$112	—	—	—	$112 – $112
17	Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient	1	$112	$112	—	—	—	$112 – $112
18	Mercy Rehabilitation Hospital South Louis, MO case rate · inpatient	1	$430	$430	—	—	—	$430 – $430
19	Mercy Rehabilitation Hospital St. Louis Chesterfield, MO case rate · inpatient	1	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
20	Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient	1	$2.7k	$2.7k	—	—	—	$2.7k – $2.7k
21	NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH professional · fee schedule · outpatient	1	$109	$109	—	—	—	$109 – $109
22	NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118
23	Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient	1	$109	$109	—	—	—	$109 – $109
24	Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient	1	$104	$104	—	—	—	$104 – $104
25	Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient	1	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k