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
Lititz, PA
See all hospitals reporting CPT 36904 →Price type
UPMC Lititz’s median price of $9.2k is 43% above the median hospital's median price ($6.4k), higher than 79% of the 1,975 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: 7 payers, 20 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 4 | Highmark medicare facility · fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 5 | Aetna medicare facility · fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 6 | Cigna medicare facility · fee schedule · outpatient | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 8 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $7.7k | $7.7k | — | — | — | $7.7k – $7.7k |
| 9 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 10 | Highmark medicaid facility · fee schedule · outpatient | $8.6k | $8.6k | $8.3k | 96% | — | $356 – $16.9k |
| 11 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 13 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
| 17 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 18 | Highmark commercial facility · fee schedule · outpatient | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 20 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
Last updated: Mar 6, 2026
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