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
Dianeal Low-Calcium/2.5% Dex solution 1,500 mL
Beaumont, TX
See all hospitals reporting HCPCS A4722 →Price type
CHRISTUS West Beaumont’s median price of $317 is 805% above the median hospital's median price ($35), higher than 93% of the 339 hospitals reporting HCPCS A4722. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $63 | $64 | $3 | 4% | — | $62 – $69 |
| 2 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $63 | $64 | $3 | 4% | — | $62 – $69 |
| 3 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $63 | $64 | $3 | 4% | — | $62 – $69 |
| 4 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $63 | $64 | $3 | 4% | — | $62 – $69 |
| 5 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $152 | $155 | $7 | 4% | — | $149 – $165 |
| 6 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $187 | $187 | $10 | 5% | — | $174 – $207 |
| 7 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $190 | $193 | $8 | 4% | — | $187 – $207 |
| 8 | Molina star km percent of total billed charges · outpatientfrom % of charges | $190 | $193 | $8 | 4% | — | $187 – $207 |
| 9 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $190 | $193 | $8 | 4% | — | $187 – $207 |
| 10 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $234 | $232 | $40 | 17% | — | $187 – $289 |
| 11 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $247 | $251 | $11 | 4% | — | $243 – $269 |
| 12 | Bcbs Tx blue advantage hmo percent of total billed charges · outpatientfrom % of charges | $285 | $290 | $12 | 4% | — | $280 – $310 |
| 13 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $285 | $290 | $12 | 4% | — | $280 – $310 |
| 14 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $317 | $322 | $14 | 4% | — | $311 – $344 |
| 15 | Bcbs Tx heb percent of total billed charges · outpatientfrom % of charges | $329 | $335 | $14 | 4% | — | $324 – $358 |
| 16 | Bcbs Tx hmo percent of total billed charges · outpatientfrom % of charges | $329 | $335 | $14 | 4% | — | $324 – $358 |
| 17 | Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges | $367 | $374 | $16 | 4% | — | $361 – $400 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $380 | $387 | $16 | 4% | — | $373 – $413 |
| 19 | Humana choicecare percent of total billed charges · outpatientfrom % of charges | $380 | $387 | $16 | 4% | — | $373 – $413 |
| 20 | Bcbs Tx traditional percent of total billed charges · outpatientfrom % of charges | $386 | $393 | $17 | 4% | — | $380 – $420 |
| 21 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $393 | $400 | $17 | 4% | — | $386 – $427 |
| 22 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $412 | $419 | $18 | 4% | — | $404 – $448 |
| 23 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $436 | $435 | $24 | 6% | — | $404 – $482 |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $436 | $435 | $24 | 6% | — | $404 – $482 |
| 25 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $437 | $445 | $19 | 4% | — | $429 – $475 |
Last updated: Jan 13, 2026
See Dialysis solution fluid, over 1999 cc pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.