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
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
McCall, ID
See all hospitals reporting CPT 36904 →Price type
St Luke's McCall, LTD’s median price of $9.7k is 51% above the median hospital's median price ($6.4k), higher than 81% 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: 8 payers, 12 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 | Molina hb mccall molina mmcp percent of total billed charges · bothfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 2 | Regence hb mccall medicare advantage percent of total billed charges · bothfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 3 | Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · bothfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 4 | Molina hb mccall molina med adv percent of total billed charges · bothfrom % of charges | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 5 | Aetna hb mccall aetna med adv percent of total billed charges · bothfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 6 | Bcbs Id hb mccall bci percent of total billed charges · inpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 7 | Blue Cross Blue Shield hb mccall bci percent of total billed charges · inpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 8 | Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 9 | Cigna hb mccall cigna percent of total billed charges · bothfrom % of charges | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 10 | Aetna hb mccall bp aetna percent of total billed charges · bothfrom % of charges | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 11 | First Health hb mccall first choice health percent of total billed charges · bothfrom % of charges | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 12 | UnitedHealthcare hb mccall united healthcare percent of total billed charges · bothfrom % of charges | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
Last updated: Mar 25, 2026
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