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Unscheduled or Emergency Dialysis in Hospital Outpatient

New Hampshire 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?

$6.92

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $6.92 for this service. Most negotiated rates run $5.75 to $85.11.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6 · 10th to 90th $6 to $2,951Professionalmedian $7 · 10th to 90th $6 to $245
$10.0$50.0$200.0$1.0Kfacility $6professional $7

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
$5.75
Median
$5.75
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$6.92
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$3,019.95
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07

Where New Hampshire sits

The same service costs 162.2 times more in North Carolina than in Georgia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Hampshire $6.92 · 8th of 51
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.