Glen Rose, TX
See all hospitals reporting CPT 43901 →Price type
Negotiated rates from the hospital’s own file: 5 payers, 11 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 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $36.00 | $36.00 | $36.00 – $36.00 |
| 2 | Blue Cross Blue Shield pos percent of total billed charges · outpatientfrom % of charges | $38.00 | $38.00 | $38.00 – $38.00 |
| 3 | Aetna non hmo percent of total billed charges · outpatientfrom % of charges | $41.00 | $41.00 | $41.00 – $41.00 |
| 4 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $41.00 | $41.00 | $41.00 – $41.00 |
| 5 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $43.00 | $43.00 | $43.00 – $43.00 |
| 6 | Anthem amerihealth hmo percent of total billed charges · outpatientfrom % of charges | $47.00 | $47.00 | $47.00 – $47.00 |
| 7 | Humana commercial hmo percent of total billed charges · outpatientfrom % of charges | $53.00 | $53.00 | $53.00 – $53.00 |
| 8 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $56.00 | $56.00 | $56.00 – $56.00 |
| 9 | Cigna flexcare fee schedule · outpatient | $4,467 | $4,467 | $4,467 – $4,467 |
| 10 | Cigna hmo fee schedule · outpatient | $4,467 | $4,467 | $4,467 – $4,467 |
| 11 | Cigna ppo fee schedule · outpatient | $4,467 | $4,467 | $4,467 – $4,467 |
Last updated: Aug 21, 2026
See T4 Free Dialysis/ms (So) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.