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$1,181 – $4,06419 plans$774$1,935
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,140 – $2,81216 plans$1,227$3,068
EvergreenHealth Medical CenterKirkland$870 – $2,55627 plans$2,198$2,748
Harborview Medical CenterSeattleFile dated 2026-04-01$1,272 – $1,6923 plans$2,461$3,515
Highline Medical CenterBurienFile dated 2026-02-28$1,371 – $3,19316 plans$973$3,188
Island HospitalAnacortes$1,062 – $1,4745 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,293 – $2,5037 plans$3,632$5,188
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1,530 – $2,6444 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,181 – $6,45620 plans$774$1,935
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,181 – $4,07120 plans$774$1,935
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,181 – $4,07120 plans$774$1,935
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,181 – $4,07120 plans$774$1,935
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,115 – $2,80616 plans$1,227$3,068
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$877 – $6,10612 plans$690$1,379
PeaceHealth Southwest Medical CenteVancouver$304 – $2,4695 plans$4,112 – $4,235$6,326 – $6,516
PeaceHealth St John Medical CenterLongview$326 – $4,6963 plans$2,008 – $2,309$3,089 – $3,552
PeaceHealth St Joseph Medical CenterBellingham$1,5721 plan$1,824 – $1,879$2,806 – $2,890
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,293 – $2,53712 plans$1,698 – $3,265$2,425 – $4,664
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,343 – $5,1249 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$918 – $2,80411 plans$2,286 – $3,891$3,266 – $5,558
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$938 – $2,68811 plans$770$1,480
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$619 – $3,8669 plans$1,191$1,702
Providence St Peter HospitalOlympiaFile dated 2026-04-01$671 – $3,58413 plans$799$1,537
Skagit Valley HospitalMount Vernon$1,120 – $3,165at least 11 plans$2,000$2,500
St Anthony HospitalGig HarborFile dated 2026-02-28$1,507 – $3,49017 plans$970$3,188
St Clare HospitalLakewoodFile dated 2026-02-28$1,507 – $3,49017 plans$919$3,188
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,012 – $2,95714 plans$1,126$3,188
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,480 – $3,49017 plans$1,000$3,188
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,523 – $3,49017 plans$1,056$3,188
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1,631 – $3,03218 plans$1,407$3,188
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,172 – $3,20013 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,195 – $3,38014 plans$1,092 – $2,001$2,274 – $4,168
Swedish Medical CenterSeattleFile dated 2026-04-01$1,192 – $3,37122 plans$1,092 – $2,001$2,274 – $4,168
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,192 – $3,37116 plans$1,092 – $2,001$2,274 – $4,168
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,181 – $3,50220 plans$774$1,935
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,272 – $2,92411 plans$2,108$3,012
Virginia Mason Medical CenterSeattle$299 – $2,58210 plans$254 – $1,271$499 – $2,492
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2,0211 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,171 – $2,33519 plans$1,029$2,572

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)