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
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $774 | $1,935 |
| Deaconess Medical Center | — | $1,227 | $3,068 |
| EvergreenHealth Medical Center | — | $2,198 | $2,748 |
| Harborview Medical Center | — | $2,461 | $3,515 |
| Highline Medical Center | — | $973 | $3,188 |
| Kadlec Regional Medical Center | — | $3,632 | $5,188 |
| Mary Bridge Children's Hospital | — | $774 | $1,935 |
| MultiCare Auburn Medical Center | — | $774 | $1,935 |
| MultiCare Covington Medical Center | — | $774 | $1,935 |
| MultiCare Good Samaritan Hospital | — | $774 | $1,935 |
| MultiCare Valley Hospital | — | $1,227 | $3,068 |
| Overlake Hospital Medical Center & Clinics | — | $690 | $1,379 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $3,265 | $4,664 |
| Providence Holy Family Hospital | — | $3,891 | $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 | — | $2,000 | $2,500 |
| St Anthony Hospital | — | $970 | $3,188 |
| St Clare Hospital | — | $919 | $3,188 |
| St Elizabeth Hospital | — | $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 Issaquah | — | $2,001 | $4,168 |
| Swedish Medical Center | — | $2,001 | $4,168 |
| Swedish Medical Center / Cherry Hill | — | $2,001 | $4,168 |
| Tacoma General Allenmore Hospital | — | $774 | $1,935 |
| University of Washington Medical Ctr | — | $2,108 | $3,012 |
| Virginia Mason Medical Center | — | $254 – $1,271 | $499 – $2,492 |
| Yakima Valley Memorial | — | $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)