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Unscheduled or Emergency Dialysis in Hospital Outpatient

Ohio 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 October 2026.

How much does Unscheduled or Emergency Dialysis in Hospital Outpatient cost?

$224

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $1,738 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$200$87.10 to $617
FacilityA hospital or hospital-owned outpatient department$1,738$1,259 to $2,138

How much rates vary

Facilitymedian $1,738 · 10th to 90th $631 to $2,138Professionalmedian $200 · 10th to 90th $87 to $631
$10$50$200$1Kfacility $1,738professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$1,737.80
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$1,445.44
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Molina
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$70.79
Typical High
$70.79
United
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$2,344.23

Where Ohio sits

The same service costs 190.5 times more in North Carolina than in North Dakota. 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.

Ohio· 27th of 51

$224

NC $1,096ND $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.