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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 October 2026.

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

$5.75

Typical negotiated rate. In Illinois, October 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 $1,000 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.75$5.75 to $617
FacilityA hospital or hospital-owned outpatient department$1,000$891 to $1,259

How much rates vary

Facilitymedian $1,000 · 10th to 90th $851 to $1,622Professionalmedian $6 · 10th to 90th $6 to $617
$10$50$200$1Kfacility $1,000professional $6

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
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
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,000.00
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$120.23
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,862.09

Where Illinois 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.

Illinois· 50th of 51

$5.75

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.