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
PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH
ST, LA
See all hospitals reporting CPT 36904 →Price type
Kaplan General Hospital, Inc’s median price of $753 is 88% below the median hospital's median price ($6.4k), higher than 5% of the 1,983 hospitals reporting CPT 36904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 5 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 | Aetna Better Health all payor case rate · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 2 | Amerihealth Caritas all payor case rate · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 3 | Humana all payor case rate · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 4 | UnitedHealthcare all payor case rate · outpatient | $1.9k | $1.9k | $1.1k | 60% | — | $753 – $3.0k |
| 5 | Bcbs La all payor fee schedule · outpatient | $8.8k | $8.8k | $367 | 4% | — | $8.4k – $9.1k |
Last updated: Apr 1, 2026
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