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Unscheduled or Emergency Dialysis in Hospital Outpatient

Missouri 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 $9 · 10th–90th $6$1,5850%20%10th90th$9Professionalmedian $6 · 10th–90th $6$3890%50%90th$6$5.0$20.0$100.0$500.0$2.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$295.12
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.31
Typical High
$13.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,365.16