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/1.5% Dex 2,000 mL with vancomycin 2,000 mg dialysis solution
Beaumont, TX
See all hospitals reporting HCPCS A4725 →Price type
CHRISTUS West Beaumont’s median price of $252 is 644% above the median hospital's median price ($34), higher than 92% of the 252 hospitals reporting HCPCS A4725. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $78 | $75 | $42 | 56% | — | $15 – $145 |
| 2 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $78 | $75 | $42 | 56% | — | $15 – $145 |
| 3 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $78 | $75 | $42 | 56% | — | $15 – $145 |
| 4 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $78 | $75 | $42 | 56% | — | $15 – $145 |
| 5 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $187 | $181 | $101 | 56% | — | $35 – $347 |
| 6 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $226 | $218 | $123 | 56% | — | $41 – $434 |
| 7 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $233 | $226 | $127 | 56% | — | $44 – $434 |
| 8 | Molina star km percent of total billed charges · outpatientfrom % of charges | $233 | $226 | $127 | 56% | — | $44 – $434 |
| 9 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $233 | $226 | $127 | 56% | — | $44 – $434 |
| 10 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $243 | $271 | $161 | 59% | — | $44 – $608 |
| 11 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $303 | $294 | $165 | 56% | — | $57 – $564 |
| 12 | Bcbs Tx blue advantage hmo percent of total billed charges · outpatientfrom % of charges | $350 | $339 | $190 | 56% | — | $66 – $651 |
| 13 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $350 | $339 | $190 | 56% | — | $66 – $651 |
| 14 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $389 | $376 | $211 | 56% | — | $73 – $723 |
| 15 | Bcbs Tx heb percent of total billed charges · outpatientfrom % of charges | $404 | $391 | $220 | 56% | — | $76 – $752 |
| 16 | Bcbs Tx hmo percent of total billed charges · outpatientfrom % of charges | $404 | $391 | $220 | 56% | — | $76 – $752 |
| 17 | Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges | $451 | $437 | $245 | 56% | — | $85 – $839 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $467 | $452 | $254 | 56% | — | $88 – $868 |
| 19 | Humana choicecare percent of total billed charges · outpatientfrom % of charges | $467 | $452 | $254 | 56% | — | $88 – $868 |
| 20 | Bcbs Tx traditional percent of total billed charges · outpatientfrom % of charges | $474 | $459 | $258 | 56% | — | $89 – $882 |
| 21 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $482 | $467 | $262 | 56% | — | $91 – $897 |
| 22 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $506 | $489 | $275 | 56% | — | $95 – $940 |
| 23 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $524 | $508 | $286 | 56% | — | $95 – $1.0k |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $524 | $508 | $286 | 56% | — | $95 – $1.0k |
| 25 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $537 | $519 | $292 | 56% | — | $101 – $998 |
Last updated: Jan 13, 2026
See Dialysis fluid, large volume (over 4,999 cc) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.