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
$15
Average
$91
Median
$47
High
$419
Each hospital's average First Health rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 6.0× 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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69 hospital rates
iThe hospitals that file a First Health 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 2 | $68 | $85 | $42 | 49% | — | $46 – $157 |
| 2 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 3 | CHRISTUS Hospital - Orange Orange, TX percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $419 | $18 | 4% | — | $404 – $448 |
| 4 | CHRISTUS West Beaumont Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $419 | $18 | 4% | — | $404 – $448 |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 7 | Christus Health Southeast Texas Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $419 | $18 | 4% | — | $404 – $448 |
| 8 | Christus Health Southeast Texas Port Arthur, TX percent of total billed charges · outpatientfrom % of charges | 1 | $412 | $419 | $18 | 4% | — | $404 – $448 |
| 9 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 10 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | $0 | 1% | — | $43 – $44 |
| 11 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 12 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | $0 | 1% | — | $86 – $87 |
| 13 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | $1 | 1% | — | $82 – $83 |
| 14 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | $2 | 6% | — | $33 – $37 |
| 15 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 16 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | $0 | 1% | — | $30 – $31 |
| 17 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 18 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 19 | HCA Healthcare Trident Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 20 | HCA Houston Healthcare North Cypress CYPRESS, TX percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | $0 | 1% | — | $86 – $87 |
| 21 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 22 | HEART HOSP OF AUSTIN Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $47 | $15 | 32% | — | $26 – $71 |
| 23 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $47 | $15 | 32% | — | $26 – $71 |
| 24 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $32 | — | — | — | $32 – $32 |
| 25 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $32 | — | — | — | $32 – $32 |
← Payers reporting HCPCS A4722 · Snapshot 20261111T120946Z-9134e7f7