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Unscheduled or Emergency Dialysis in Hospital Outpatient

North Carolina 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?

$933

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $8.71 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 5 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$1,096$5.75 to $1,096
FacilityA hospital or hospital-owned outpatient department$8.71$5.75 to $676

How much rates vary

Facilitymedian $9 · 10th to 90th $6 to $977Professionalmedian $1,096 · 10th to 90th $6 to $1,096
$10$20$50$100$200$500$1Kfacility $9professional $1,096

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$741.31
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$12.30
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$660.69

Where North Carolina 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.

North Carolina· 1st of 51

$933

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.