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
Dialyzer F3/F4 Fresenius 520161, 520165
Based on 3–30 billing samples across every hospital reporting.
Low
$0
Average
$935
Median
$506
High
$7.1k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 344 hospitals; the 90th percentile is 99.8× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Connecticut Children's Hartford, CT | $385 | $323 | $86 | 27% | 3–30 | $178 – $411 |
| 2 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $375 | $375 | $251 | 67% | — | $124 – $627 |
| 3 | Fairview Health Services Edina, MN | $828 | $655 | $353 | 54% | — | $42 – $1.2k |
| 4 | Mayo Regional Hospital Dover Foxcroft, ME | $343 | $346 | $29 | 8% | — | $313 – $386 |
| 5 | Hoopeston Community Memorial Hospital Hoopeston, IL | $204 | $204 | — | — | — | $204 – $204 |
| 6 | William Beaumont Hospital Grosse Pointe, MI | $605 | $605 | — | — | — | $605 – $605 |
| 7 | Westfield Memorial Hospital Inc WESTFIELD, NY | $61 | $108 | $92 | 85% | — | $61 – $288 |
| 8 | Sanford USD Medical Center Sioux Falls, SD | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $1.4k | $1.4k | $1.1k | 82% | — | $248 – $2.5k |
| 10 | Saint Francis Hospital South Tulsa, OK | $124 | $124 | — | — | — | $124 – $124 |
Ask Claude or any MCP client for HCPCS A4690 pricing at a specific hospital — see how to connect.