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
THRMBC/NFS DIALYSIS CIRCUIT
Longview, TX
See all hospitals reporting CPT 36904 →Price type
Longview Medical Center LP’s median price of $5.8k is 10% below the median hospital's median price ($6.4k), higher than 36% of the 1,975 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: 9 payers, 30 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 | Cigna cigna all facility · case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 2 | Medicaid node tx medicaid facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 3 | UnitedHealthcare node uhc chip medicaid tx facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | UnitedHealthcare node uhc star medicaid tx facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 5 | Molina node molina chip medicaid tx facility · per diem · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 6 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 7 | UnitedHealthcare node uhc star plus medicaid tx facility · other · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 8 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 9 | Humana node humana mcr adv facility · fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 10 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 11 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 12 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 13 | Aetna node aetna mcr adv facility · other · outpatient | $5.7k | $5.7k | — | — | 1–10 | $5.7k – $5.7k |
| 14 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 15 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 16 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 17 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 18 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 19 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 20 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 21 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 22 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 23 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 24 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $27.7k | $27.7k | — | — | — | $27.7k – $27.7k |
| 25 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $31.6k | $31.6k | — | — | — | $31.6k – $31.6k |
Last updated: Apr 1, 2026
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