RC 803

Peritoneal dialysis performed during inpatient stay

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 PERITONEAL DIALYSIS, CAPD-IP

Payers reporting RC 803

Payer pricing summary

Low

$230

Average

$962

Median

$802

High

$4.1k

Payer rate distribution

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#
1	Medicare other · both · +9 other terms	10	$441	$447	$17	4%	1–10	$441 – $497
2	Bcbs Mn other · inpatient · +3 other terms	1	$54	$54	—	—	1–10	$54 – $54
3	Aetna fee schedule · outpatient · +21 other terms	72	$443	$616	$378	61%	—	$1 – $2.6k
4	UnitedHealthcare fee schedule · outpatient · +24 other terms	67	$427	$526	$432	82%	—	$1 – $3.0k
5	Humana fee schedule · outpatient · +17 other terms	58	$427	$424	$58	14%	—	$1 – $541
6	Blue Cross Blue Shield facility · fee schedule · outpatient · +22 other terms	40	$402	$382	$301	79%	—	$40 – $2.3k
7	WellCare fee schedule · outpatient · +13 other terms	30	$452	$622	$247	40%	—	$403 – $998
8	Molina fee schedule · outpatient · +17 other terms	21	$328	$353	$153	43%	—	$1 – $640
9	Cigna other · outpatient · +20 other terms	19	$1.3k	$1.2k	$493	41%	—	$184 – $1.6k
10	Clover fee schedule · outpatient · +2 other terms	17	$465	$460	$22	5%	—	$423 – $501
11	Medicaid facility · fee schedule · outpatient · +5 other terms	17	$219	$589	$601	102%	—	$40 – $1.6k
12	Kaiser fee schedule · outpatient · +17 other terms	16	$427	$611	$632	103%	—	$104 – $2.2k
13	Medcost facility · percent of total billed charges · bothfrom % of charges · +5 other terms	16	$1.0k	$1.2k	$580	48%	—	$296 – $2.5k
14	Optum fee schedule · outpatient · +9 other terms	15	$391	$573	$418	73%	—	$387 – $2.3k
15	Beechstreet percent of total billed charges · outpatientfrom % of charges · +2 other terms	14	$1.0k	$1.2k	$246	21%	—	$983 – $1.5k
16	Bcbs La fee schedule · outpatient · +1 other terms	13	$1.5k	$1.5k	$511	35%	—	$387 – $2.3k
17	Caresource fee schedule · outpatient · +12 other terms	13	$430	$504	$185	37%	—	$1 – $666
18	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$416	$421	$104	25%	—	$215 – $654
19	Sanford Health Plan percent of total billed charges · outpatientfrom % of charges · +4 other terms	12	$427	$461	$150	33%	—	$279 – $886
20	Bcbs Nj fee schedule · outpatient · +3 other terms	11	$418	$669	$541	81%	—	$290 – $2.1k
21	Cigna Healthspring fee schedule · outpatient · +5 other terms	11	$425	$426	$7	2%	—	$419 – $447
22	Devoted facility · fee schedule · outpatient · +9 other terms	11	$398	$430	$97	23%	—	$394 – $788
23	Tricare other · outpatient · +11 other terms	11	$387	$312	$110	35%	—	$153 – $415
24	Bcbs Il other · both · +1 other terms	9	$1.5k	$1.6k	$148	9%	—	$1.4k – $1.9k
25	Bcbs In other · both	9	$1.5k	$1.6k	$147	9%	—	$1.4k – $1.9k

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