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Dialysis for Acute Kidney Injury with Single Evaluation

Wisconsin 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 negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $631 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 7 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$631$79.43 to $631
FacilityA hospital or hospital-owned outpatient department$631$631 to $631

How much rates vary

Facilitymedian $631 · 10th to 90th $65 to $631Professionalmedian $631 · 10th to 90th $63 to $631
$50.0$100.0$200.0$500.0$1.0Kfacility $631professional $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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$79.43
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Wisconsin 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.

Wisconsin $631 · 6th 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.