RC 803
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, CAPD-IP
Low
$207
Average
$722
Median
$515
High
$2.1k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 3.7× 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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30 hospital rates
iThe hospitals that file a Wellmark 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 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | $754 | 36% | — | $1.3k – $2.8k |
| 3 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | $754 | 36% | — | $1.3k – $2.8k |
| 4 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $426 | $426 | — | — | — | $426 – $426 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · other · both | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 8 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $435 | $435 | — | — | — | $435 – $435 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 2 | $426 | $426 | — | — | — | $426 – $426 |
| 10 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $445 | $445 | — | — | — | $445 – $445 |
| 11 | Meriter Hospital, Inc Madison, WI percent of total billed charges · inpatientfrom % of charges | 1 | $578 | $578 | — | — | — | $578 – $578 |
| 12 | Meriter Hospital, Inc Madison, WI percent of total billed charges · outpatientfrom % of charges | 1 | $578 | $578 | — | — | — | $578 – $578 |
| 13 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $423 | $423 | — | — | — | $423 – $423 |
| 17 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $515 | $515 | — | — | — | $515 – $515 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $515 | $515 | — | — | — | $515 – $515 |
| 19 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $343 | $343 | $38 | 11% | — | $305 – $381 |
| 20 | Samaritan Hospital Troy, NY facility · other · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $333 | $333 | — | — | — | $333 – $333 |
| 22 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $403 | $403 | — | — | — | $403 – $403 |
| 23 | St Peters Hospital Albany, NY facility · fee schedule · both | 2 | $343 | $343 | $38 | 11% | — | $305 – $381 |
| 24 | St Peters Hospital Albany, NY facility · other · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | The Finley Hospital Dubuque, IA case rate · outpatient | 1 | $416 | $416 | — | — | — | $416 – $416 |
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