Perq thrmbc/nfs dialysis circuit img dx angrph (CPT 36904)
36904 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
43 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
Compare interactively — search all codes, set your location →
| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Spanish Peaks Regional Health Center unusually low — confirm this is the full procedure |
Walsenburg, CO | $2,867.40 | $3,186 | $6,003.94 | 0.5× |
| Sheridan Memorial Hospital | Sheridan, WY | $3,856 | $4,820 | $5,814.84 | 0.7× |
| Denver Health Medical Center | Denver, CO | $3,938.37 | $11,252.47 | $6,003.94 | 0.7× |
| Mercy Hospital Durango | Durango, CO | $4,664.33 | $11,660.81 | $6,003.94 | 0.8× |
| UCHealth University of Colorado Hospital | Aurora, CO | $4,947.25 | $14,135 | $6,003.94 | 0.8× |
| Parkview Medical Center | Pueblo, CO | $5,271.20 | $13,178 | $6,003.94 | 0.9× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $5,859.90 | $19,533 | $6,003.94 | 1.0× |
| Banner Wyoming Medical Center | Casper, WY | $6,514.20 | $15,510 | $5,814.84 | 1.1× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $6,522.35 | $9,317.63 | $5,814.84 | 1.1× |
| Longs Peak Hospital | Longmont, CO | $6,836.55 | $19,533 | $6,070.58 | 1.1× |
| UCHealth Broomfield Hospital | Broomfield, CO | $6,836.55 | $19,533 | $6,003.94 | 1.1× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $6,836.55 | $19,533 | $6,003.94 | 1.1× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $7,076.50 | $14,153 | $5,717.50 | 1.2× |
| Banner North Colorado Medical Center | Greeley, CO | $7,722.37 | $17,276 | $6,003.94 | 1.3× |
| Regional West Medical Center | Scottsbluff, NE | $7,906.80 | $13,178 | $5,910.09 | 1.3× |
| Foothills Hospital | Boulder, CO | $8,965 | $17,930 | $6,070.58 | 1.5× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $9,612 | $21,360 | $6,003.94 | 1.6× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $9,669 | $16,115 | $5,717.50 | 1.7× |
| Longmont United Hospital | Longmont, CO | $9,678.31 | $24,195.77 | $6,070.58 | 1.6× |
| St. Anthony Hospital | Lakewood, CO | $9,678.31 | $24,195.77 | $6,003.94 | 1.6× |
| Penrose Hospital | Colorado Springs, CO | $9,678.31 | $24,195.77 | $6,003.94 | 1.6× |
| St. Anthony North Health Campus | Westminster, CO | $9,678.31 | $24,195.77 | $6,003.94 | 1.6× |
| OrthoColorado Hospital | Lakewood, CO | $9,678.31 | $24,195.77 | $6,003.94 | 1.6× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $9,678.31 | $24,195.77 | $6,003.94 | 1.6× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $9,720.45 | $16,200.75 | $5,717.50 | 1.7× |
| St. Mary-Corwin Hospital | Pueblo, CO | $9,972.74 | $24,931.83 | $6,003.94 | 1.7× |
| UCHealth Greeley Hospital | Greeley, CO | $10,000.80 | $16,668 | $6,003.94 | 1.7× |
| Poudre Valley Hospital | Fort Collins, CO | $11,667.60 | $16,668 | $6,003.94 | 1.9× |
| Medical Center of the Rockies | Loveland, CO | $11,667.60 | $16,668 | $6,003.94 | 1.9× |
| Community Hospital Grand Junction | Grand Junction, CO | $12,024.32 | $21,472 | $6,003.94 | 2.0× |
| AdventHealth Porter | Denver, CO | $21,635.99 | $21,635.99 | $6,003.94 | 3.6× |
| AdventHealth Avista | Louisville, CO | $21,635.99 | $21,635.99 | $6,070.58 | 3.6× |
| AdventHealth Littleton | Littleton, CO | $21,635.99 | $21,635.99 | $6,003.94 | 3.6× |
| AdventHealth Parker | Parker, CO | $21,635.99 | $21,635.99 | $6,003.94 | 3.6× |
| AdventHealth Castle Rock | Castle Rock, CO | $21,635.99 | $21,635.99 | $6,003.94 | 3.6× |
| Campbell County Health | Gillette, WY | $26,015.85 | $28,906.50 | $5,814.84 | 4.5× |
| Parkland Memorial Hospital | Dallas, TX | $29,499.04 | $73,747.61 | $5,717.50 | 5.2× |
| Medical City Dallas | Dallas, TX | $39,319.74 | $39,319.74 | $5,717.50 | 6.9× |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $16,498.95 | $6,003.94 | — |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $18,582.80 | $6,003.94 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $21,279.50 | $6,003.94 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $21,279.50 | $6,003.94 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $21,279.50 | $6,070.58 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.