Dialysis solution fluid, over 1999 cc

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

PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L

Payers reporting HCPCS A4722

Payer pricing summary

Low

Average

$152

Median

$86

High

$1.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna other · outpatient · +6 other terms	5	$46	$48	$6	12%	1–10	$37 – $56
2	MultiPlan percent of total billed charges · outpatientfrom % of charges · +5 other terms	79	$177	$221	$290	131%	—	$7 – $1.5k
3	Aetna fee schedule · outpatient · +11 other terms	37	$43	$72	$49	69%	—	$21 – $225
4	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	33	$14	$67	$88	130%	—	$1 – $451
5	Blue Cross Blue Shield facility · fee schedule · outpatient · +11 other terms	32	$19	$80	$88	110%	—	$0 – $405
6	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	20	$443	$504	$424	84%	—	$49 – $2.2k
7	Anthem facility · case rate · outpatient · +7 other terms	15	$15	$17	$4	23%	—	$10 – $26
8	Caresource facility · case rate · outpatient · +4 other terms	15	$16	$17	$4	23%	—	$10 – $27
9	Molina facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$11 – $26
10	Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms	15	$228	$269	$121	45%	—	$37 – $482
11	UnitedHealthcare facility · case rate · outpatient · +8 other terms	15	$16	$17	$4	23%	—	$11 – $27
12	Highmark facility · percent of total billed charges · outpatientfrom % of charges	14	$32	$45	$36	80%	—	$3 – $258
13	Oscar percent of total billed charges · outpatientfrom % of charges · +2 other terms	13	$87	$113	$64	57%	—	$2 – $291
14	Ambetter percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$50	$57	$97	172%	—	$3 – $447
15	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$56	$36	$31	86%	—	$0 – $70
16	Optum facility · case rate · outpatient · +4 other terms	11	$14	$16	$4	22%	—	$13 – $24
17	Kaiser percent of total billed charges · outpatientfrom % of charges · +2 other terms	10	$221	$219	$52	24%	—	$7 – $969
18	Medcost percent of total billed charges · outpatientfrom % of charges · +3 other terms	10	$124	$126	$66	52%	—	$67 – $409
19	WellCare percent of total billed charges · outpatientfrom % of charges · +1 other terms	10	$41	$53	$54	103%	—	$2 – $298
20	Medica fee schedule · both · +3 other terms	9	$33	$33	—	—	—	$33 – $33
21	Ucare fee schedule · both	9	$34	$34	$2	5%	—	$32 – $36
22	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$36	$36	—	—	—	$36 – $36
23	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	5	$345	$345	$39	11%	—	$280 – $420
24	Devoted percent of total billed charges · outpatientfrom % of charges · +1 other terms	5	$322	$322	$14	4%	—	$311 – $344
25	Excellus facility · fee schedule · outpatient	5	$2	$3	$2	94%	—	$1 – $8

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