Dialysis fluid, large volume supply

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

DIANEAL LC 1.5%DEX 6LINJ

Payers reporting HCPCS A4726

Payer pricing summary

Low

Average

$111

Median

$53

High

$435

Payer rate distribution

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#
1	Cigna percent of total billed charges · outpatientfrom % of charges · +5 other terms	51	$147	$162	$175	108%	—	$6 – $1.2k
2	MultiPlan percent of total billed charges · outpatientfrom % of charges · +5 other terms	51	$170	$219	$302	138%	—	$20 – $1.4k
3	Aetna fee schedule · outpatient · +11 other terms	37	$43	$70	$49	70%	—	$21 – $225
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	32	$45	$68	$62	90%	—	$0 – $201
5	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	20	$18	$24	$31	129%	—	$3 – $156
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	Molina facility · case rate · outpatient · +3 other terms	15	$15	$17	$4	23%	—	$11 – $26
9	UnitedHealthcare facility · case rate · outpatient · +7 other terms	15	$16	$17	$4	23%	—	$11 – $27
10	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	13	$216	$282	$193	68%	—	$74 – $754
11	Ambetter percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$24	$47	$62	131%	—	$9 – $215
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$112	$72	$62	87%	—	$0 – $141
13	Optum facility · case rate · outpatient · +3 other terms	11	$14	$16	$4	22%	—	$13 – $24
14	Medcost percent of total billed charges · outpatientfrom % of charges	10	$146	$189	$112	59%	—	$94 – $475
15	WellCare percent of total billed charges · outpatientfrom % of charges	10	$38	$44	$33	77%	—	$6 – $132
16	Medica fee schedule · both · +1 other terms	9	$39	$39	—	—	—	$39 – $39
17	Ucare fee schedule · both	9	$40	$40	$2	5%	—	$38 – $43
18	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$36	$36	—	—	—	$36 – $36
19	Phcs percent of total billed charges · outpatientfrom % of charges	7	$719	$435	$262	60%	—	$79 – $746
20	Devoted percent of total billed charges · outpatientfrom % of charges	5	$533	$364	$162	44%	—	$82 – $533
21	Excellus facility · fee schedule · outpatient	5	$2	$2	$1	62%	—	$1 – $6
22	Highmark facility · percent of total billed charges · outpatientfrom % of charges	5	$27	$95	$119	125%	—	$8 – $384
23	Humana fee schedule · inpatient · +7 other terms	5	$35	$35	—	—	—	$35 – $35
24	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	4	$399	$266	$165	62%	—	$18 – $522
25	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$30	$31	$2	6%	—	$30 – $34

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