RC 802
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
HC PERITONEAL DIALYSIS-IP NON CAPD
Low
$40
Average
$588
Median
$537
High
$2.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
168 hospitals; the 90th percentile is 9.2× 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.
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219 hospital rates
iThe hospitals that file a Molina 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 4 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 5 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 6 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 7 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 8 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 9 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 10 | Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 11 | Advocate Sherman Hospital Elgin, IL case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 12 | Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 13 | Advocate Trinity Hospital Chicago, IL case rate · outpatient | 1 | $644 | $644 | — | — | — | $644 – $644 |
| 14 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 15 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 16 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 17 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 18 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 19 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 20 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 21 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 22 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 23 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 24 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
| 25 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $780 | $780 | — | — | — | $780 – $780 |
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