Dialysis solution fluid, over 1999 cc at Wayne Memorial 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

PERITON.DIALYSIS SOLN 6-1.5 % DEXTROS LOW CALC 2.5 MEQ/L-MAG 0.5 MEQ/L

Goldsboro, NC

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How this price compares nationally

Wayne Memorial Hospital’s median price of $62 is 76% above the median hospital's median price ($35), higher than 64% of the 339 hospitals reporting HCPCS A4722. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4722 at Wayne Memorial Hospital

Negotiated rates from the hospital’s own file: 7 payers, 13 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 managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$52	$51	$2	4%	—	$48 – $53
2	UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges	$52	$51	$2	4%	—	$48 – $53
3	WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$52	$51	$2	4%	—	$48 – $53
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$62	$60	$2	4%	—	$57 – $62
5	Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$100	$97	$4	4%	—	$93 – $101
6	Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges	$151	$147	$6	4%	—	$140 – $152
7	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$151	$147	$6	4%	—	$140 – $152
8	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$156	$152	$6	4%	—	$145 – $157
9	UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges	$156	$152	$6	4%	—	$145 – $157
10	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$165	$160	$6	4%	—	$153 – $166
11	Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges	$172	$167	$6	4%	—	$159 – $173
12	Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges	$174	$169	$7	4%	—	$161 – $175
13	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$182	$178	$7	4%	—	$169 – $184

Last updated: Jun 18, 2026

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