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
$11
Average
$114
Median
$48
High
$1.1k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 5.4× 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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18 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $82 | $38 | 46% | — | $58 – $174 |
| 2 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $78 | $36 | 46% | — | $55 – $165 |
| 3 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $14 | $1 | 7% | — | $13 – $15 |
| 4 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $132 | $66 | 50% | — | $91 – $293 |
| 5 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $15 | 39% | — | $14 – $66 |
| 6 | HIGHLANDS-CASHIERS HOSPITAL Highlands, NC percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $80 | $37 | 46% | — | $57 – $169 |
| 7 | Johnston Health Services Corporation Smithfield, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $24 | $8 | 31% | — | $9 – $32 |
| 8 | Lenoir Memorial Hospital Kinston, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $2 | 15% | — | $8 – $13 |
| 9 | Nash Hospitals Rocky Mount, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $32 | $11 | 35% | — | $12 – $47 |
| 10 | Rex Hospital, Inc. Holly Springs, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | $1 | 4% | — | $36 – $39 |
| 11 | Southeastern Regional Medical Center Lumberton, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $28 | $2 | 6% | — | $26 – $30 |
| 12 | TRANSYLVANIA REGIONAL HOSPITAL Brevard, NC percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $86 | $39 | 46% | — | $61 – $182 |
| 13 | UPMC Childrens Hospital of Pittsburgh Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $23 | $11 | 51% | — | $9 – $38 |
| 14 | UPMC Muncy Muncy, PA facility · per diem · inpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | UPMC Muncy Muncy, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $4 | $2 | 47% | — | $3 – $8 |
| 16 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $48 | $19 | 39% | — | $17 – $75 |
| 17 | Watauga Medical Center, Inc Boone, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 18 | Wayne Memorial Hospital Goldsboro, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $51 | $2 | 4% | — | $48 – $53 |
← Payers reporting HCPCS A4722 · Snapshot 20261111T120946Z-9134e7f7