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
$259
Average
$405
Median
$352
High
$625
Each hospital's average Molina rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 1.9× 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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20 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $327 | $327 | — | — | — | $327 – $327 |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $576 | $576 | — | — | — | $576 – $576 |
| 3 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 4 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $573 | $573 | — | — | — | $573 – $573 |
| 5 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 8 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 9 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY other · outpatient | 2 | $259 | $259 | — | — | — | $259 – $259 |
| 10 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 11 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 2 | $610 | $610 | $15 | 2% | — | $596 – $625 |
| 12 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 13 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $625 | $625 | — | — | — | $625 – $625 |
| 14 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 15 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 16 | Nebraska Medical Center Omaha, NE percent of total billed charges · outpatientfrom % of charges | 2 | $576 | $576 | — | — | — | $576 – $576 |
| 17 | THE UNION HOSPITAL ASSOCIATION Dover, OH facility · case rate · outpatient | 1 | $420 | $420 | — | — | — | $420 – $420 |
| 18 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 19 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · outpatient | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 20 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
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