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Dialysis for Acute Kidney Injury at an ESRD Facility

South Carolina 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?

$1,072

Typical negotiated rate. In South Carolina, October 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 $741 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$1,072$60.26 to $1,072
FacilityA hospital or hospital-owned outpatient department$741$575 to $813

How much rates vary

Facilitymedian $741 · 10th to 90th $339 to $1,072Professionalmedian $1,072 · 10th to 90th $60 to $1,072
$50$100$200$500$1K$2Kfacility $741professional $1,072

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
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$707.95
Typical High
$812.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Medcost
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20

Where South Carolina 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.

South Carolina· 4th of 51

$1,072

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.