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Dialysis for Acute Kidney Injury at an ESRD Facility

Pennsylvania rates for HCPCS G0491

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

Rates data updated July 2026.

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

$1,072

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $170 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 4 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$1,072$1,000 to $1,072
FacilityA hospital or hospital-owned outpatient department$170$64.57 to $1,072

How much rates vary

Facilitymedian $170 · 10th to 90th $65 to $1,072Professionalmedian $1,072 · 10th to 90th $437 to $1,072
$100.0$500.0$2.0K$10.0Kfacility $170professional $1,072

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. 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
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$1,000.00
Typical High
$1,258.93

Where Pennsylvania sits

The same service costs 14.8 times more in South Dakota than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $1,072 · 11th of 51
SD $1,514MN $102

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.