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
HC Thrmbc/Nfs Dialysis Circuit
Utica, NY
See all hospitals reporting CPT 36904 →Price type
MVHS, Inc.’s median price of $7.1k is 11% above the median hospital's median price ($6.4k), higher than 59% 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: 11 payers, 32 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 uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $94 | $94 | — | — | — | $94 – $94 |
| 2 | Aetna aetna medicare advantage fee schedule · both | $154 | $154 | — | — | — | $154 – $154 |
| 3 | Medicare medicare fee schedule · both | $154 | $154 | — | — | — | $154 – $154 |
| 4 | WellCare wellcare fee schedule · both | $158 | $158 | — | — | — | $158 – $158 |
| 5 | Humana humana military fee schedule · inpatient | $159 | $159 | — | — | — | $159 – $159 |
| 6 | Tricare humana military fee schedule · inpatient | $159 | $159 | — | — | — | $159 – $159 |
| 7 | Humana choicecare fee schedule · both | $167 | $167 | — | — | — | $167 – $167 |
| 8 | Humana humana medicare advantage fee schedule · both | $167 | $167 | — | — | — | $167 – $167 |
| 9 | Cigna mvp hmo/ppo fee schedule · both | $236 | $236 | — | — | — | $236 – $236 |
| 10 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $268 | $268 | — | — | — | $268 – $268 |
| 11 | UnitedHealthcare uhc commercial case rate · inpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 12 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 13 | Humana humana military other · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 14 | Tricare humana military other · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 15 | Excellus excellus bcbs medicare advantage other · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 16 | Humana humana medicare advantage other · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 17 | Medicare medicare other · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 18 | Optum vaccn optum other · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 19 | UnitedHealthcare uhc medicare advantage other · outpatient | $7.2k | $7.2k | — | — | 1–10 | $7.2k – $7.2k |
| 20 | Aetna aetna medicare advantage other · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 21 | WellCare wellcare medicare advantage other · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 22 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 23 | UnitedHealthcare uhc commercial fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 24 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 25 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
Last updated: Aug 7, 2026
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