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
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $571 – $847 | $774 | $1,935 |
| Deaconess Medical Center | $523 – $554 | $1,227 | $3,068 |
| EvergreenHealth Medical Center | — | $2,198 | $2,748 |
| Harborview Medical Center | — | $2,461 | $3,515 |
| Highline Medical Center | — | $973 | $3,188 |
| Island Hospital | $539 – $585 | — | — |
| Kadlec Regional Medical Center | — | $3,632 | $5,188 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $541 – $584 | $774 | $1,935 |
| MultiCare Auburn Medical Center | $531 – $573 | $774 | $1,935 |
| MultiCare Covington Medical Center | $531 – $573 | $774 | $1,935 |
| MultiCare Good Samaritan Hospital | $543 – $587 | $774 | $1,935 |
| MultiCare Valley Hospital | $519 – $550 | $1,227 | $3,068 |
| Olympic Medical Center | $668 – $732 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $690 | $1,379 |
| PeaceHealth Southwest Medical Cente | $791 | $4,112 – $4,235 | $6,326 – $6,516 |
| PeaceHealth St John Medical Center | $637 – $857 | $2,008 – $2,309 | $3,089 – $3,552 |
| PeaceHealth St Joseph Medical Center | $856 | $1,824 – $1,879 | $2,806 – $2,890 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,698 – $3,265 | $2,425 – $4,664 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $2,286 – $3,891 | $3,266 – $5,558 |
| Providence Regional Medical Center Everett | — | $770 | $1,480 |
| Providence St Mary Medical Center | — | $1,191 | $1,702 |
| Providence St Peter Hospital | — | $799 | $1,537 |
| Skagit Valley Hospital | $99.97 – $270 | $2,000 | $2,500 |
| St Anthony Hospital | — | $970 | $3,188 |
| St Clare Hospital | — | $919 | $3,188 |
| St Elizabeth Hospital | $542 – $660 | $1,126 | $3,188 |
| St Francis Community Hospital | — | $1,000 | $3,188 |
| St Joseph Medical Center | — | $1,056 | $3,188 |
| St Michael Medical Center | — | $1,407 | $3,188 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $1,092 – $2,001 | $2,274 – $4,168 |
| Swedish Medical Center | — | $1,092 – $2,001 | $2,274 – $4,168 |
| Swedish Medical Center / Cherry Hill | — | $1,092 – $2,001 | $2,274 – $4,168 |
| Tacoma General Allenmore Hospital | $543 – $587 | $774 | $1,935 |
| University of Washington Medical Ctr | — | $2,108 | $3,012 |
| Virginia Mason Medical Center | — | $254 – $1,271 | $499 – $2,492 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $519 – $603 | $1,029 | $2,572 |
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)