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.
Generation details were not recorded for this description.
Original text from hospital filings
Peritoneal dialysis clamp
Low
$0
Average
$18
Median
$10
High
$78
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 14.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +5 other terms | 19 | $10 | $13 | $14 | 110% | — | $1 – $64 |
| 2 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 3 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $34 | $36 | $8 | 23% | — | $23 – $57 |
| 4 | Molina facility · case rate · outpatient · +1 other terms | 15 | $33 | $36 | $8 | 23% | — | $23 – $56 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 15 | $34 | $37 | $9 | 23% | — | $23 – $57 |
| 6 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $12 | $9 | $5 | 57% | — | $4 – $15 |
| 7 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 11 | $4 | $4 | $1 | 23% | — | $0 – $4 |
| 8 | Optum facility · case rate · outpatient | 11 | $31 | $34 | $8 | 22% | — | $28 – $51 |
| 9 | Medica fee schedule · both · +1 other terms | 9 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Ucare fee schedule · both · +3 other terms | 9 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Humana fee schedule · inpatient · +2 other terms | 5 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $21 | $22 | $1 | 6% | — | $21 – $23 |
| 14 | First Health professional · fee schedule · both | 3 | $7 | $7 | $5 | 69% | — | $1 – $11 |
| 15 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Bcbs Nv fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 17 | Bcbs Vt professional · fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Hospitals reporting HCPCS E1634 · Snapshot 20261113T090226Z-3ce6c0b8