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 > 4999cc
Low
$6
Average
$137
Median
$61
High
$1.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 13.0× 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.
Filter by billing methodology
Filter by billing class
120 hospital rates
iThe hospitals that file a Aetna 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $87 | $87 | — | — | — | $87 – $87 |
| 3 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $97 | $97 | $1 | 1% | — | $96 – $98 |
| 5 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $35 | $45 | $15 | 32% | — | $35 – $66 |
| 8 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 10 | CHRISTUS Hospital - Orange Orange, TX percent of total billed charges · outpatientfrom % of charges | 6 | $434 | $454 | $292 | 64% | — | $35 – $998 |
| 11 | CHRISTUS West Beaumont Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 6 | $434 | $454 | $292 | 64% | — | $35 – $998 |
| 12 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 3 | $16 | $65 | $153 | 233% | — | $15 – $656 |
| 13 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $35 | $35 | — | — | — | $35 – $35 |
| 15 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 16 | Christus Health Southeast Texas Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 6 | $434 | $454 | $292 | 64% | — | $35 – $998 |
| 17 | Christus Health Southeast Texas Port Arthur, TX percent of total billed charges · outpatientfrom % of charges | 6 | $434 | $454 | $292 | 64% | — | $35 – $998 |
| 18 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 2 | $43 | $43 | — | — | — | $43 – $43 |
| 19 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $97 | $97 | $1 | 1% | — | $96 – $98 |
| 22 | Community Medical Center Toms River, NJ fee schedule · outpatient | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 23 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 2 | $94 | $94 | $5 | 6% | — | $86 – $103 |
| 24 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $457 | $457 | — | — | — | $457 – $457 |
| 25 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 2 | $43 | $43 | — | — | — | $43 – $43 |
← Payers reporting HCPCS A4725 · Snapshot 20261111T120946Z-9134e7f7