Dialysis fluid, large volume (over 4,999 cc)

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Dialys sol fld vol > 4999cc

Payers reporting HCPCS A4725

Payer pricing summary

Low

Average

$146

Median

$69

High

$873

Payer rate distribution

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#
1	Cigna percent of total billed charges · outpatientfrom % of charges · +4 other terms	39	$105	$319	$293	92%	—	$5 – $1.9k
2	Aetna fee schedule · outpatient · +10 other terms	37	$43	$70	$49	70%	—	$21 – $225
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	32	$39	$121	$147	121%	—	$0 – $634
4	MultiPlan percent of total billed charges · outpatientfrom % of charges · +4 other terms	24	$114	$196	$272	139%	—	$16 – $1.0k
5	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	21	$13	$81	$60	74%	—	$4 – $279
6	Anthem facility · case rate · outpatient · +6 other terms	15	$15	$17	$4	23%	—	$10 – $26
7	Caresource facility · case rate · outpatient · +2 other terms	15	$16	$17	$4	23%	—	$10 – $27
8	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	15	$457	$469	$237	50%	—	$53 – $1.3k
9	Molina facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$11 – $26
10	UnitedHealthcare facility · case rate · outpatient · +7 other terms	15	$16	$17	$4	23%	—	$11 – $27
11	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$112	$72	$62	87%	—	$0 – $141
12	Optum facility · case rate · outpatient · +3 other terms	11	$14	$16	$4	22%	—	$13 – $24
13	Medica fee schedule · both · +1 other terms	9	$32	$32	—	—	—	$32 – $32
14	Phcs percent of total billed charges · outpatientfrom % of charges · +1 other terms	9	$508	$486	$285	59%	—	$44 – $1.0k
15	Ucare fee schedule · both	9	$32	$32	$2	5%	—	$31 – $34
16	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$36	$36	—	—	—	$36 – $36
17	Ambetter percent of total billed charges · outpatientfrom % of charges · +1 other terms	7	$31	$32	$72	223%	—	$8 – $285
18	Devoted percent of total billed charges · outpatientfrom % of charges	7	$376	$373	$201	54%	—	$73 – $723
19	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	6	$404	$393	$226	58%	—	$56 – $882
20	Excellus facility · fee schedule · outpatient	5	$1	$1	$2	101%	—	$0 – $5
21	Humana fee schedule · inpatient · +6 other terms	5	$35	$35	—	—	—	$35 – $35
22	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$26	$27	$2	6%	—	$25 – $29
23	Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$95	$95	$220	233%	—	$23 – $884
24	First Health professional · fee schedule · both · +2 other terms	3	$39	$39	—	—	—	$39 – $39
25	Clover percent of total billed charges · outpatientfrom % of charges	2	$24	$24	$56	234%	—	$5 – $247

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