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Unscheduled or Emergency Dialysis in Hospital Outpatient

Illinois 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 July 2026.

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

$5.75

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $5.75 for this service. The price depends on where it is billed: about $5.75 from a physician practice, and about $1,047 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.75$5.75 to $5.75
FacilityA hospital or hospital-owned outpatient department$1,047$1,023 to $1,479

How much rates vary

Facilitymedian $1,047 · 10th to 90th $100 to $1,820Professionalmedian $6 · 10th to 90th $6 to $617
$10$20$50$100$200$500$1Kfacility $1,047professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$245.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,047.13
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$954.99
Typical High
$38,018.94

Where Illinois sits

The same service costs 162.2 times more in North Carolina than in Georgia. 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.

Illinois· 24th of 51

$5.75

NC $933GA $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.