go back

Unscheduled or Emergency Dialysis in Hospital Outpatient

Utah 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?

$44.67

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $1,259 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$5.75 to $617
FacilityA hospital or hospital-owned outpatient department$1,259$5.75 to $1,660

How much rates vary

Facilitymedian $1,259 · 10th to 90th $6 to $2,089Professionalmedian $45 · 10th to 90th $6 to $631
$10$50$200$1K$5Kfacility $1,259professional $45

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
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.87
Median
$0.87
Typical High
$0.87
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.58
Median
$0.58
Typical High
$0.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$2,089.30
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,128.61
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27

Where Utah 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.

Utah· 42nd of 51

$44.67

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.