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Unscheduled or Emergency Dialysis in Hospital Outpatient

Washington, DC 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 rates vary

Facilitymedian $6 · 10th to 90th $6 to $6Professionalmedian $6 · 10th to 90th $6 to $617
$10$20$50$100$200$500facility $6professional $6

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.87
Median
$0.87
Typical High
$0.87
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.58
Median
$0.58
Typical High
$0.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60