HCPCS G0257

Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility

Current codeHemodialysis40 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS G0257 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,548 – $1,6452 plans$774$1,935
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,178 – $2,2402 plans$1,227$3,068
EvergreenHealth Medical CenterKirkland$870 – $2,55627 plans$2,198$2,748
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,461$3,515
Highline Medical CenterBurienFile dated 2026-02-28$1,371 – $2,8694 plans$973$3,188
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$3,632$5,188
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,265 – $1,5486 plans$774$1,935
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,4132 plans$774$1,935
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,4132 plans$774$1,935
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,4132 plans$774$1,935
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,2092 plans$1,227$3,068
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$690$1,379
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$3,265$4,664
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$3,891$5,558
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$770$1,480
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,191$1,702
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$799$1,537
Skagit Valley HospitalMount Vernon$1,120 – $3,16511 plans$2,000$2,500
St Anthony HospitalGig HarborFile dated 2026-02-28$2,295 – $2,3912 plans$970$3,188
St Clare HospitalLakewoodFile dated 2026-02-28$2,295 – $2,3912 plans$919$3,188
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,275 – $2,8695 plans$1,126$3,188
St Francis Community HospitalFederal WayFile dated 2026-02-28$2,295 – $2,3912 plans$1,000$3,188
St Joseph Medical CenterTacomaFile dated 2026-02-28$2,295 – $2,3912 plans$1,056$3,188
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,008 – $2,86910 plans$1,407$3,188
Swedish IssaquahIssaquahFile dated 2026-04-01—$2,001$4,168
Swedish Medical CenterSeattleFile dated 2026-04-01—$2,001$4,168
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$2,001$4,168
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,4132 plans$774$1,935
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,108$3,012
Virginia Mason Medical CenterSeattle$320 – $1,9944 plans$254 – $1,271$499 – $2,492
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,4401 plan$1,029$2,572

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$701 (APC 5401)