Dialysis solution, non-dextrose

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

HC DIANEAL PD FLUID

Payers reporting HCPCS A4728

Payer pricing summary

Low

Average

$59

Median

$36

High

$183

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +10 other terms	40	$43	$70	$49	70%	—	$21 – $225
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	22	$22	$18	$15	87%	—	$4 – $64
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 · +8 other terms	15	$16	$17	$4	23%	—	$11 – $27
7	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$12	$9	$5	57%	—	$4 – $15
8	Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$92	$93	$3	3%	—	$89 – $98
9	Cigna percent of total billed charges · outpatientfrom % of charges · +4 other terms	12	$59	$59	$16	27%	—	$33 – $82
10	Medcost percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$58	$61	$14	23%	—	$32 – $98
11	WellCare percent of total billed charges · outpatientfrom % of charges	12	$14	$16	$5	30%	—	$11 – $23
12	Ambetter percent of total billed charges · outpatientfrom % of charges · +1 other terms	11	$34	$35	$5	13%	—	$30 – $48
13	MultiPlan percent of total billed charges · inpatientfrom % of charges · +4 other terms	11	$96	$95	$2	2%	—	$92 – $97
14	Optum facility · case rate · outpatient · +1 other terms	11	$14	$16	$4	22%	—	$13 – $24
15	Magellan percent of total billed charges · outpatientfrom % of charges	10	$61	$61	—	—	—	$61 – $61
16	Highmark facility · percent of total billed charges · outpatientfrom % of charges	8	$30	$183	$421	231%	—	$13 – $2.0k
17	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$36	$36	—	—	—	$36 – $36
18	Humana fee schedule · inpatient · +6 other terms	5	$35	$35	—	—	—	$35 – $35
19	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$4	$4	$0	6%	—	$4 – $5
20	First Health professional · fee schedule · both · +4 other terms	3	$39	$39	—	—	—	$39 – $39
21	Amerihealth Caritas facility · per diem · inpatient · +2 other terms	1	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nc facility · fee schedule · outpatient · +2 other terms	1	$162	$162	—	—	—	$162 – $162
24	Bcbs Vt professional · fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
25	Cigna Healthspring percent of total billed charges · outpatientfrom % of charges	1	$19	$19	—	—	—	$19 – $19