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
$8
Average
$39
Median
$32
High
$122
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 6.2× 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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14 hospital rates
iThe hospitals that file a Highmark 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 | UPMC Childrens Hospital of Pittsburgh Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $48 | $62 | $43 | 70% | — | $10 – $161 |
| 2 | UPMC East Monroeville, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $50 | $57 | $29 | 51% | — | $12 – $212 |
| 3 | UPMC Hamot Erie, PA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $116 | $122 | $59 | 49% | — | $20 – $258 |
| 4 | UPMC Magee-Womens Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $40 | $40 | $11 | 27% | — | $26 – $64 |
| 5 | UPMC McKeesport Mckeesport, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $47 | $42 | $10 | 24% | — | $21 – $48 |
| 6 | UPMC Mercy Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 6 | $22 | $33 | $20 | 61% | — | $19 – $95 |
| 7 | UPMC Muncy Muncy, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $8 | $5 | 65% | — | $3 – $25 |
| 8 | UPMC Northwest Seneca, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $17 | $18 | $7 | 40% | — | $9 – $27 |
| 9 | UPMC Passavant - McCandless Cranberry Township, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $27 | $30 | $12 | 40% | — | $16 – $88 |
| 10 | UPMC Presbyterian Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $28 | $31 | $10 | 30% | — | $26 – $57 |
| 11 | UPMC St Margaret Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 7 | $55 | $60 | $32 | 53% | — | $12 – $212 |
| 12 | UPMC Wellsboro Wellsboro, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $9 | $8 | $5 | 65% | — | $4 – $27 |
| 13 | UPMC Western Psychiatric Hospital Pittsburgh, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 14 | UPMC Williamsport Lock Haven, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $9 | $13 | $7 | 51% | — | $8 – $25 |
← Payers reporting HCPCS A4722 · Snapshot 20261111T120946Z-9134e7f7