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
DIANEAL 4.25%D LOW CA 2000ML
Williamsport, PA
See all hospitals reporting HCPCS A4722 →Price type
UPMC Williamsport’s median price of $15 is 57% below the median hospital's median price ($35), higher than 25% of the 339 hospitals reporting HCPCS A4722. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 23 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 medicare facility · percent of total billed charges · outpatientfrom % of charges | $5 | $8 | $4 | 50% | — | $5 – $14 |
| 2 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $6 | $9 | $5 | 50% | — | $6 – $16 |
| 3 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $6 | $10 | $5 | 50% | — | $6 – $17 |
| 4 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $8 | $12 | $6 | 50% | — | $8 – $21 |
| 5 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $8 | $13 | $6 | 50% | — | $8 – $22 |
| 6 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $9 | $13 | $7 | 50% | — | $9 – $23 |
| 7 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $9 | $15 | $7 | 50% | — | $9 – $25 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $10 | $15 | $7 | 50% | — | $10 – $26 |
| 9 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $10 | $16 | $8 | 50% | — | $10 – $27 |
| 10 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $10 | $16 | $8 | 50% | — | $10 – $27 |
| 11 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $11 | $16 | $8 | 50% | — | $11 – $28 |
| 12 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $13 | $21 | $10 | 50% | — | $13 – $35 |
| 13 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $13 | $21 | $10 | 50% | — | $13 – $35 |
| 14 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $13 | $21 | $11 | 50% | — | $13 – $36 |
| 15 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $13 | $21 | $11 | 50% | — | $13 – $36 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $14 | $21 | $11 | 50% | — | $14 – $37 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $14 | $21 | $11 | 50% | — | $14 – $37 |
| 18 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $14 | $21 | $11 | 50% | — | $14 – $37 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14 | $21 | $11 | 50% | — | $14 – $37 |
| 20 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $16 | $24 | $12 | 50% | — | $16 – $42 |
| 21 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $16 | $24 | $12 | 50% | — | $16 – $42 |
| 22 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $16 | $24 | $12 | 50% | — | $16 – $42 |
| 23 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $16 | $24 | $12 | 50% | — | $16 – $42 |
Last updated: Mar 6, 2026
See Dialysis solution fluid, over 1999 cc pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.