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Dialysis for Acute Kidney Injury with Single Evaluation

Pennsylvania rates for HCPCS G0492

Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD

Rates data updated July 2026.

How much does Dialysis for Acute Kidney Injury with Single Evaluation cost?

$631

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $631 for this service. Most negotiated rates run $631 to $631.

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.

How much rates vary

Facilitymedian $65 · 10th to 90th $65 to $170Professionalmedian $631 · 10th to 90th $631 to $631
$100.0$200.0$500.0facility $65professional $631

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
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96

Where Pennsylvania sits

The same service costs 11.2 times more in Oklahoma than in Texas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $631 · 8th of 50
OK $631TX $56.23

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.