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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.

Facilitymedian $9 · 10th–90th $6$9770%20%10th90th$9Professionalmedian $1,096 · 10th–90th $6$1,0960%50%10th$1,096$5.0$20.0$100.0$500.0

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
$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