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Dialysis for Acute Kidney Injury at an ESRD Facility

Indiana rates for HCPCS G0491

Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD

Rates data updated October 2026.

How much does Dialysis for Acute Kidney Injury at an ESRD Facility cost?

$813

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,072 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$813$60.26 to $1,072
FacilityA hospital or hospital-owned outpatient department$1,072$912 to $2,138

How much rates vary

Facilitymedian $1,072 · 10th to 90th $912 to $2,188Professionalmedian $813 · 10th to 90th $60 to $1,072
$50$100$200$500$1K$2Kfacility $1,072professional $813

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$218.78
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$87.10
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$64.57
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$43.65
Median
$107.15
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$60.26
Typical High
$72.44
CareSource
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,089.30
Typical High
$2,290.87
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47

Where Indiana sits

The same service costs 17.8 times more in Idaho than in New Mexico. 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.

Indiana· 11th of 51

$813

ID $1,072NM $60.26

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.