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
PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L
Low
$14
Average
$65
Median
$68
High
$95
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 2.0× 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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16 hospital rates
iThe hospitals that file a Ambetter 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 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $85 | $195 | 228% | — | $5 – $760 |
| 2 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $50 | $115 | 228% | — | $3 – $447 |
| 3 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 5 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $85 | $195 | 228% | — | $5 – $760 |
| 6 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $50 | $115 | 228% | — | $3 – $447 |
| 7 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $50 | $115 | 228% | — | $3 – $447 |
| 8 | TRISTAR CENTENNIAL MEDICAL CENTER NASHVILLE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $75 | $4 | 5% | — | $70 – $78 |
| 9 | TRISTAR HORIZON MEDICAL CENTER DICKSON, TN percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 10 | TRISTAR SOUTHERN HILLS MEDICAL CENTER Nolensville, TN percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $95 | $5 | 5% | — | $88 – $99 |
| 11 | TRISTAR STONECREST MEDICAL CENTER Smyrna, TN percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $54 | $3 | 5% | — | $50 – $57 |
| 12 | TRISTAR SUMMIT MEDICAL CENTER HERMITAGE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | $0 | 0% | — | $42 – $42 |
| 13 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $85 | $195 | 228% | — | $5 – $760 |
| 14 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $50 | $115 | 228% | — | $3 – $447 |
| 15 | The Medical Center of Peach County Inc Byron, GA percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $85 | $195 | 228% | — | $5 – $760 |
| 16 | The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $50 | $115 | 228% | — | $3 – $447 |
← Payers reporting HCPCS A4722 · Snapshot 20261111T120946Z-9134e7f7