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Unscheduled or Emergency Dialysis in Hospital Outpatient

Wisconsin 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 $6 · 10th–90th $6$2,6920%50%90th$6Professionalmedian $6 · 10th–90th $6$6170%50%90th$6$10.0$50.0$200.0$1.0K

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
$1,258.93
Median
$2,691.53
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$177.83
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,148.15
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$245.47
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$177.83
Quartz
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Quartz
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60