Average Medicaid Dialysis Payments in Madison, WI: $40.01
Avg. Paid
$40.01
Range
$23.09 – $106.20
Total Claims
5,061
Providers
10
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 Madison, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Diana Dupont
801 Braxton Pl |
$23.09 | 19 | 13 |
|
Courtney L Boyer
600 Highland Ave |
$23.48 | 20 | 13 |
|
Xinliu P Meyer
4600 American Pkwy Ste 108 |
$106.20 | 27 | 25 |
|
Timothy H Mcdonough
600 Highland Ave |
$37.23 | 29 | 13 |
|
Roy Jhagroo
600 Highland Ave |
$33.59 | 62 | 38 |
|
Sayee Sundar Alagusundaramoorthy
Uw Hospitals And Clinics 600 Highland Ave |
$30.42 | 82 | 21 |
|
Adam Philip Bregman
600 Highland Ave |
$82.96 | 129 | 104 |
|
Meriter Hospital, Inc.
202 S Park St |
$38.36 | 210 | 114 |
|
Gloria U.Y. Song
2840 Index Road |
$69.33 | 1,447 | 1,219 |
|
Daniel Guerra Rodas
Uw Hospital And Clinics |
$24.36 | 3,036 | 821 |
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 Madison, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dialysis in Madison, WI is $40.01 per claim, based on 5,061 claims from 10 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 Madison, WI?
There are 10 Medicaid providers offering Dialysis related services in Madison, WI according to public payment data.
What is the price range for Dialysis in Madison, WI?
Medicaid reimbursement for Dialysis in Madison, WI ranges from $23.09 to $106.20 per claim, with an average of $40.01. 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 Madison, WI
Substance Abuse Treatment
Avg $12.67
1,509,772 claims
Behavioral & Mental Health Therapy
Avg $110.40
1,504,873 claims
Office Visit
Avg $49.22
1,187,844 claims
Blood Work & Lab Tests
Avg $11.76
1,154,690 claims
Emergency Room Visit
Avg $59.96
734,593 claims
X-Ray
Avg $5.48
502,669 claims
Physical Therapy
Avg $19.46
343,028 claims
EKG / ECG (Electrocardiogram)
Avg $5.11
290,457 claims