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Unscheduled or Emergency Dialysis in Hospital Outpatient

Indiana 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?

$97.72

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $955 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$97.72$83.18 to $97.72
FacilityA hospital or hospital-owned outpatient department$955$912 to $2,089

How much rates vary

Facilitymedian $955 · 10th to 90th $98 to $2,455Professionalmedian $98 · 10th to 90th $6 to $617
$10$50$200$1Kfacility $955professional $98

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
$933.25
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$630.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.88
Median
$2.88
Typical High
$316.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.15
Median
$1.15
Typical High
$125.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.87
Median
$0.87
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.58
Median
$0.58
Typical High
$63.10
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$2,089.30
Typical High
$2,818.38
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$954.99
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47

Where Indiana 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.

Indiana· 33rd of 51

$97.72

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.