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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.

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

$5.75

Typical negotiated rate. In Wisconsin, 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 $5.75 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$5.75$5.75 to $851

How much rates vary

Facilitymedian $6 · 10th to 90th $6 to $2,692Professionalmedian $6 · 10th to 90th $6 to $617
$10$50$200$1Kfacility $6professional $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
$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

Where Wisconsin sits

The same service costs 162.2 times more in North Carolina than in Georgia. 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.

Wisconsin· 22nd of 51

$5.75

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.