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
Dialys sol fld vol > 3999cc
Low
$0
Average
$23
Median
$19
High
$66
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 3.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +5 other terms | 40 | $18 | $40 | $63 | 158% | — | $4 – $334 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 32 | $24 | $23 | $18 | 80% | — | $0 – $70 |
| 3 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 5 | Molina facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +3 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 7 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $94 | $60 | $52 | 87% | — | $0 – $117 |
| 8 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 9 | Medica fee schedule · both · +1 other terms | 9 | $33 | $33 | — | — | — | $33 – $33 |
| 10 | Ucare fee schedule · both | 9 | $34 | $34 | $2 | 5% | — | $32 – $36 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $19 | $19 | — | — | — | $19 – $19 |
| 12 | Humana fee schedule · inpatient · +2 other terms | 5 | $18 | $18 | — | — | — | $18 – $18 |
| 13 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $21 | $22 | $1 | 6% | — | $21 – $24 |
| 14 | First Health professional · fee schedule · both | 3 | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Bcbs Id facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 16 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Bcbs Nv fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 18 | Bcbs Vt professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
← Hospitals reporting HCPCS A4724 · Snapshot 20261112T181611Z-3fa9fb76