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HCPCS A4728

DIALYSATE SOLUTION, NON-DEX

Reported by 78 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$1

Average

$4.0k

Median

$35

High

$304.4k

Hospitals reporting this code

#HospitalLocation
1Amisub of South Carolina, Inc.Fort Mill, SC$0$1$1$1$0
2Gundersen Luthern Medical Center IncLa Crosse, WI$4$4$4$4—
3Sanford Fargo Medical CenterFargo, ND$4$4$4$4—
4Sanford Bemidji Medical CenterBemidji, MN$4$4$4$4—
5Sanford USD Medical CenterSioux Falls, SD$4$4$4$4—
6Sanford Worthington Medical CenterWorthington, MN$4$4$4$4—
7Commonspirit Kansas, Inc.Ulysses, KS$5$5$5$5—
8Commonspirit Kansas, Inc.Dodge City, KS$4$4$4$4—
9Commonspirit Kansas, Inc.Garden City, KS$4$4$4$4—
10UPMC Magee-Womens HospitalPittsburgh, PA$7$41$490$2.0k$546
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