Peritoneal dialysis solution, 3000 mL bag at St. David's Georgetown Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIALYSATE SOL3000-3999ML

Georgetown, TX

See all hospitals reporting HCPCS A4723 →

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How this price compares nationally

St. David's Georgetown Hospital’s median price of $26 is 1% above the median hospital's median price ($26), higher than 51% of the 275 hospitals reporting HCPCS A4723. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4723 at St. David's Georgetown Hospital

Negotiated rates from the hospital’s own file: 6 payers, 21 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$4	$4	$1	33%	—	$3 – $5
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$4	$4	$1	33%	—	$3 – $5
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$4	$4	$1	33%	—	$3 – $5
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$4	$4	$1	33%	—	$3 – $5
5	Blue Cross Blue Shield mybluehealth percent of total billed charges · outpatientfrom % of charges	$11	$11	$4	32%	—	$8 – $15
6	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$13	$13	$4	32%	—	$9 – $17
7	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$13	$13	$4	32%	—	$9 – $17
8	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$13	$13	$4	32%	—	$9 – $17
9	Blue Cross Blue Shield blueadvantage percent of total billed charges · outpatientfrom % of charges	$13	$13	$4	32%	—	$9 – $18
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$19	$19	$6	32%	—	$13 – $25
11	Blue Cross Blue Shield blueessentials percent of total billed charges · outpatientfrom % of charges	$21	$21	$7	32%	—	$14 – $27
12	Blue Cross Blue Shield blueessentialsaccess percent of total billed charges · outpatientfrom % of charges	$21	$21	$7	32%	—	$14 – $27
13	Humana hmo percent of total billed charges · outpatientfrom % of charges	$21	$21	$7	32%	—	$14 – $28
14	Humana ppo percent of total billed charges · outpatientfrom % of charges	$21	$21	$7	32%	—	$14 – $28
15	Blue Cross Blue Shield eposoa percent of total billed charges · outpatientfrom % of charges	$22	$22	$7	32%	—	$15 – $29
16	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$24	$24	$8	32%	—	$16 – $31
17	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$24	$24	$8	32%	—	$16 – $32
18	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$34	$34	$11	32%	—	$23 – $45
19	First Health ppo percent of total billed charges · outpatientfrom % of charges	$46	$49	$16	34%	—	$29 – $70
20	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$57	$57	$18	32%	—	$38 – $75
21	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$64	$64	$21	32%	—	$43 – $85

Last updated: Sep 1, 2026

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