RC 839
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
DIALYSIS ONE EVALUATION
Low
$50
Average
$817
Median
$721
High
$1.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 2.0× 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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65 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $729 | $729 | — | — | — | $729 – $729 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 2 | $427 | $427 | — | — | — | $427 – $427 |
| 3 | FAIRVIEW PARK HOSPITAL DUBLIN, GA case rate · outpatient | 4 | $1.6k | $1.7k | $141 | 8% | — | $1.5k – $1.9k |
| 4 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 5 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 6 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 7 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 8 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 9 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 10 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 11 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 12 | HCA HOUSTON HEALTHCARE WEST STAFFORD, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 13 | HCA HOUSTON MAINLAND Texas City, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 14 | HCA Houston Healthcare North Cypress CYPRESS, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 15 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX per diem · outpatient | 5 | $675 | $632 | $99 | 16% | — | $490 – $745 |
| 16 | HEART HOSP OF AUSTIN Austin, TX per diem · outpatient | 6 | $805 | $796 | $53 | 7% | — | $684 – $851 |
| 17 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX per diem · outpatient | 6 | $805 | $796 | $53 | 7% | — | $684 – $851 |
| 18 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · fee schedule · outpatient | 2 | $427 | $427 | — | — | — | $427 – $427 |
| 19 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · fee schedule · outpatient | 2 | $427 | $427 | — | — | — | $427 – $427 |
| 20 | MED CITY HEART HOSPITAL Dallas, TX per diem · outpatient | 7 | $1.3k | $1.1k | $297 | 27% | — | $456 – $1.4k |
| 21 | MED CITY SPINE HOSPITAL DALLAS, TX per diem · outpatient | 7 | $1.3k | $1.1k | $297 | 27% | — | $456 – $1.4k |
| 22 | MEDICAL CITY ALLIANCE HASLET, TX per diem · outpatient | 7 | $1.3k | $1.1k | $297 | 27% | — | $456 – $1.4k |
| 23 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX per diem · outpatient | 7 | $1.3k | $1.1k | $297 | 27% | — | $456 – $1.4k |
| 24 | MEDICAL CITY DALLAS GARLAND, TX per diem · outpatient | 7 | $1.3k | $1.1k | $297 | 27% | — | $456 – $1.4k |
| 25 | MEDICAL CITY DECATUR DECATUR, TX per diem · outpatient | 7 | $1.3k | $1.1k | $297 | 27% | — | $456 – $1.4k |
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