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
$0
Average
$120
Median
$57
High
$812
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
137 hospitals; the 90th percentile is 41.1× 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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154 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 2 | $31 | $37 | $17 | 46% | — | $25 – $80 |
| 2 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | BLUE RIDGE REGIONAL HOSPITAL Spruce Pine, NC percent of total billed charges · outpatientfrom % of charges | 2 | $29 | $35 | $16 | 46% | — | $24 – $75 |
| 7 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 8 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 9 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · inpatientfrom % of charges | 2 | $53 | $54 | $10 | 18% | — | $42 – $68 |
| 10 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $47 | $47 | $4 | 8% | — | $42 – $53 |
| 11 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC percent of total billed charges · outpatientfrom % of charges | 5 | $73 | $95 | $51 | 54% | — | $61 – $282 |
| 12 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $124 | $126 | $55 | 43% | — | $37 – $250 |
| 13 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $107 | $107 | $20 | 19% | — | $86 – $127 |
| 14 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $107 | $107 | $20 | 19% | — | $86 – $127 |
| 15 | Connecticut Children's Hartford, CT percent of total billed charges · outpatientfrom % of charges | 2 | $63 | $56 | $12 | 21% | — | $35 – $73 |
| 16 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 17 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 18 | Edward Hospital Plainfield, IL fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 19 | Elmhurst Memorial Hospital Elmhurst, IL fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 20 | Endeavor Health Clinical Operations Skokie, IL fee schedule · outpatient | 3 | $84 | $84 | $6 | 7% | — | $77 – $91 |
| 21 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS A4722 · Snapshot 20261111T120946Z-9134e7f7