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Unscheduled or Emergency Dialysis in Hospital Outpatient

Maine 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.

Facilitymedian $3,090 · 10th–90th $2,884$3,0900%50%100%10th$3,090Professionalmedian $6 · 10th–90th $6$870%50%90th$6$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,090.30
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75