Average Medicaid Dialysis Payments in Durham, NC: $30.42
Avg. Paid
$30.42
Range
$11.85 – $55.58
Total Claims
38,034
Providers
22
Typical Payment Range
Typical Medicaid Dialysis payments fall between $24.84 and $80.33 per claim (median: $44.88). The top 10% of payments exceed $136.08.
Based on per-provider averages across all Medicaid claims in this category.
Dialysis filters waste and excess fluid from the blood when the kidneys can no longer perform this function adequately. Includes hemodialysis and peritoneal dialysis.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Dialysis in Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tomasz Ryszard Gawecki
4419 Ben Franklin Blvd |
$35.20 | 4,618 | 3,752 |
|
Charles Ian Cooperberg
4419 Ben Franklin Blvd |
$32.63 | 4,156 | 3,324 |
|
Samuel Theodore Shaikewitz
4419 Ben Franklin Blvd |
$28.89 | 3,666 | 2,943 |
|
Amarnath A Kathresal
4419 Ben Franklin Blvd |
$29.01 | 3,334 | 2,564 |
|
Eugene C Kovalik
Dumc Box 3014 |
$27.70 | 2,945 | 2,270 |
|
David Isaias Ortiz Melo
40 Duke Medicine Cir |
$24.95 | 2,928 | 2,219 |
|
David Butterly
2100 Erwin Rd |
$40.01 | 2,592 | 1,949 |
|
Stephen Richard Smith
2100 Erwin Rd |
$30.40 | 2,538 | 1,618 |
|
Michael Berkoben
Duke University Medical Ctr |
$26.66 | 2,265 | 1,689 |
|
Ruediger Lehrich
2424 Erwin Rd |
$22.14 | 1,723 | 1,147 |
|
Romin Bonakdar
4419 Ben Franklin Blvd |
$25.02 | 1,479 | 1,281 |
|
John Larkin Musgrove
Duke Division Of Nephrology Suite 605 2424 Erwin Road |
$40.11 | 1,464 | 1,141 |
|
John Middleton
2100 Erwin Rd |
$32.98 | 1,434 | 832 |
|
John V Duronville
2301 Erwin Rd |
$25.89 | 1,073 | 746 |
|
Elzbieta Ewa Rybicka-Kozlowska
4419 Ben Franklin Blvd |
$25.61 | 841 | 629 |
|
Susan Louise Murray
2301 Erwin Rd |
$29.51 | 544 | 412 |
|
Nawal Habib
4419 Ben Franklin Blvd |
$39.14 | 236 | 224 |
|
Ravi Kiran Mallavarapu
1210 Capstone Dr |
$29.57 | 87 | 46 |
|
Crystal Cenell Tyson
Duke University Medcial Ctr |
$11.85 | 59 | 29 |
|
Timothy Samuel Hopper
2301 Erwin Rd |
$14.79 | 26 | 13 |
|
Neetaben Patel Saxena
4419 Ben Franklin Blvd |
$55.58 | 13 | 12 |
|
Elynelle J Moaje
4419 Ben Franklin Blvd |
$19.33 | 13 | 13 |
What to Expect: Dialysis
Hemodialysis sessions typically last 3-4 hours, 3 times per week. Your blood is circulated through a machine that filters out waste products and excess fluid. You'll be connected to the dialysis machine through a vascular access point (fistula, graft, or catheter). You can read, watch TV, or sleep during treatment. Some fatigue is common afterward.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 90960 | ESRD services adult 20+ 4+/mo | $69.86 | 5,779,366 | 6,517 |
| 90935 | Hemodialysis one evaluation | $87.19 | 4,534,614 | 3,974 |
| 90945 | Dialysis other than hemo | $70.67 | 2,023,345 | 278 |
| 90937 | Hemodialysis repeat eval | $45.26 | 2,012,289 | 253 |
| 90961 | ESRD services adult 20+ 2-3/mo | $67.50 | 1,015,505 | 3,951 |
| 90962 | ESRD services adult 20+ 1/mo | $76.77 | 214,150 | 1,152 |
| 90966 | ESRD home adult 20+ per month | $82.65 | 145,449 | 611 |
| 90970 | ESRD home daily service | $21.09 | 114,763 | 171 |
| 90947 | Dialysis other repeat eval | $66.54 | 68,064 | 17 |
| 90940 | Hemodialysis access study | $5.96 | 3,256 | 15 |
| 90953 | ESRD services child <2 1/mo | $0.00 | 186 | 1 |
| 90967 | ESRD home services per day <2 | $7.75 | 66 | 2 |
| 90951 | ESRD services child <2 4+/mo | — | — | — |
| 90952 | ESRD services child <2 2-3/mo | — | — | — |
| 90954 | ESRD services child 2-11 4+/mo | — | — | — |
| 90955 | ESRD services child 2-11 2-3/mo | — | — | — |
| 90956 | ESRD services child 2-11 1/mo | — | — | — |
| 90957 | ESRD services child 12-19 4+/mo | — | — | — |
| 90958 | ESRD services 12-19 2-3/mo | — | — | — |
| 90959 | ESRD services child 12-19 1/mo | — | — | — |
| 90963 | ESRD home child <2 per month | — | — | — |
| 90964 | ESRD home child 2-11 per mo | — | — | — |
| 90965 | ESRD home child 12-19 per mo | — | — | — |
| 90968 | ESRD home services per day 2-11 | — | — | — |
| 90969 | ESRD home services per day 12-19 | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Dialysis cost in Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dialysis in Durham, NC is $30.42 per claim, based on 38,034 claims from 22 providers. Typical payments fall between $24.84 and $80.33. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Dialysis in Durham, NC?
There are 22 Medicaid providers offering Dialysis related services in Durham, NC according to public payment data.
What is the price range for Dialysis in Durham, NC?
Medicaid reimbursement for Dialysis in Durham, NC ranges from $11.85 to $55.58 per claim, with an average of $30.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Dialysis in Other Cities
Brooklyn, NY
Avg $72.64
776,579 claims · 88 providers
Bronx, NY
Avg $67.93
715,062 claims · 69 providers
Flushing, NY
Avg $20.09
356,348 claims · 12 providers
New York, NY
Avg $119.97
272,948 claims · 124 providers
Los Angeles, CA
Avg $106.38
199,646 claims · 76 providers
Philadelphia, PA
Avg $48.86
199,529 claims · 108 providers
Riverside, CA
Avg $81.52
182,745 claims · 19 providers
Charlottesville, VA
Avg $308.66
177,053 claims · 15 providers
Other Procedures in Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Dental Cleaning & Exam
Avg $29.86
790,132 claims
Substance Abuse Treatment
Avg $122.82
746,211 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Emergency Room Visit
Avg $105.90
448,598 claims