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Unscheduled or Emergency Dialysis in Hospital Outpatient

Pennsylvania 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?

$5.75

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5.75 for this service. The price depends on where it is billed: about $5.75 from a physician practice, and about $1,202 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 8 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$5.75$5.75 to $5.75
FacilityA hospital or hospital-owned outpatient department$1,202$589 to $1,698

How much rates vary

Facilitymedian $1,202 · 10th to 90th $501 to $2,692Professionalmedian $6 · 10th to 90th $6 to $617
$10.0$100.0$1.0K$10.0Kfacility $1,202professional $6

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
$501.19
Median
$776.25
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$245.47
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$8,912.51
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$12.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$8,912.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,698.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$245.47
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,479.11
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$2,454.71

Where Pennsylvania 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.

Pennsylvania $5.75 · 17th 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.