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
THRMBC/NFS DIALYSIS CIRCUIT
Valhalla, NY
See all hospitals reporting CPT 36904 →Price type
Westchester Medical Center’s median price of $9.4k is 46% above the median hospital's median price ($6.4k), higher than 80% 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: 9 payers, 19 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 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 2 | Medicare medicare facility · fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 3 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 4 | Oscar oscar medicare facility · fee schedule · outpatient | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 5 | Molina affinity by molina mcr facility · fee schedule · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 6 | Blue Cross Blue Shield blue cross connection/exchange facility · case rate · outpatient | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 7 | Blue Cross Blue Shield blue cross access facility · case rate · outpatient | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 8 | Blue Cross Blue Shield blue cross small group facility · case rate · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 9 | UnitedHealthcare uhc compass facility · case rate · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 10 | UnitedHealthcare uhc exchange facility · case rate · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 11 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · case rate · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 12 | UnitedHealthcare uhc commercial facility · case rate · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 13 | UnitedHealthcare uhc empire facility · case rate · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 14 | Aetna aetna hp network facility · case rate · outpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 15 | Aetna aetna facility · case rate · outpatient | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 16 | Aetna aetna employee facility · case rate · outpatient | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 17 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 18 | Cigna cigna ppo facility · fee schedule · outpatient | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 19 | Tricare tricare facility · fee schedule · outpatient | $50k | $50k | — | — | — | $50k – $50k |
Last updated: Jul 28, 2026
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