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Unscheduled or Emergency Dialysis in Hospital Outpatient

Arizona rates for HCPCS G0257

Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility

Rates data updated October 2026.

How much does Unscheduled or Emergency Dialysis in Hospital Outpatient cost?

$617

Typical physician fee. In Arizona, October 2026.

Insurers have agreed to pay about $617 for this service. Most negotiated rates run $562 to $631.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,622 · 10th to 90th $447 to $2,884Professionalmedian $617 · 10th to 90th $562 to $631
$10$50$200$1Kfacility $1,622professional $617

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,737.80
Typical High
$2,884.03
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$831.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$691.83
Typical High
$912.01
Medica
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$660.69

Where Arizona sits

The same service costs 190.5 times more in North Carolina than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 16th of 51

$617

NC $1,096ND $5.75

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.