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
Saint Louis, MO
See all hospitals reporting CPT 36904 →Price type
SSM-SLUH, Inc.’s median price of $1.4k is 79% below the median hospital's median price ($6.4k), higher than 7% 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, 14 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 | Blue Cross Blue Shield anthem pathway exchange fee schedule · outpatient | $699 | $791 | $297 | 37% | — | $423 – $1.3k |
| 2 | Blue Cross Blue Shield anthem blue preferred hmo/pos fee schedule · outpatient | $714 | $811 | $302 | 37% | — | $432 – $1.4k |
| 3 | Blue Cross Blue Shield anthem blue access choice all commercial plans fee schedule · outpatient | $714 | $835 | $308 | 37% | — | $432 – $1.4k |
| 4 | Blue Cross Blue Shield anthem blue access ppo fee schedule · outpatient | $1.0k | $995 | $384 | 39% | — | $466 – $1.5k |
| 5 | Aetna carelink all commercial plans fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 6 | Aetna all commercial plans fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 7 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 8 | Aetna medicare managed care plan fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 9 | Humana medicare managed care plan fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 10 | Aetna advantra medicare managed care plan fee schedule · outpatient | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 11 | Oscar exchange fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 12 | UnitedHealthcare employee fee schedule · outpatient | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 13 | UnitedHealthcare non-ppo other commercial plan fee schedule · outpatient | $17.1k | $17.1k | — | — | — | $17.1k – $17.1k |
| 14 | UnitedHealthcare options ppo fee schedule · outpatient | $19.3k | $19.3k | — | — | — | $19.3k – $19.3k |
Last updated: Apr 1, 2026
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