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 LC 1.5%DEX 3LINJ
CONROE, TX
See all hospitals reporting HCPCS A4723 →Price type
Hca Houston Healthcare Conroe’s median price of $59 is 128% above the median hospital's median price ($26), higher than 78% of the 278 hospitals reporting HCPCS A4723. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 23 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Aetna mcr percent of total billed charges · outpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 7 | Cigna csn percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 8 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 9 | Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 10 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Blue Cross Blue Shield bav percent of total billed charges · outpatientfrom % of charges | $46 | $46 | — | — | — | $46 – $46 |
| 12 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 13 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 14 | Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges | $59 | $59 | — | — | — | $59 – $59 |
| 15 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 16 | Molina hix percent of total billed charges · outpatientfrom % of charges | $69 | $69 | — | — | — | $69 – $69 |
| 17 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 18 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 19 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 20 | UnitedHealthcare globalappendix percent of total billed charges · outpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 21 | First Health comm percent of total billed charges · outpatientfrom % of charges | $136 | $136 | — | — | — | $136 – $136 |
| 22 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 23 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $217 | $217 | — | — | — | $217 – $217 |
Last updated: May 14, 2026
See Peritoneal dialysis solution, 3000 mL bag pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.