Average Medicaid Dialysis Payments in San Juan, PR: $93.38
Avg. Paid
$93.38
Range
$14.30 – $206.28
Total Claims
5,444
Providers
13
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 San Juan, PR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
San Juan Nephrology P.S.C.
U3-3 Carr 21 |
$90.98 | 2,556 | 2,427 |
|
Cristy Gianna Martinez-Lopez
559 Calle Cuevillas |
$94.88 | 687 | 626 |
|
Lillian J Borrego Conde
Torre Auxilio Mutuo Suite 803 |
$103.14 | 670 | 595 |
|
Antonio Luis Diaz Hernandez
1492 Ave La Constitucion Suite 717 |
$121.34 | 472 | 459 |
|
Jose L. Nieves-Rivera
735 Ponce De Leon Ave. Torre Medica Auxilio Mutuo |
$57.10 | 382 | 344 |
|
Instituto Renal De San Juan, Llc
611 Calle Pavia |
$103.65 | 241 | 222 |
|
Nivia Esther Cruz-Ortiz
Cond. Torre De Auxlio Mutuo Ofic. 712 |
$151.60 | 119 | 104 |
|
Carlos Gilberto Rivera Bermudez
313 Ave Domenech |
$68.61 | 95 | 15 |
|
Manuel A. Figueroa-Gonzalez
592 Cesar Gonzalez, Torre Cibeles |
$15.01 | 82 | 66 |
|
Rodolfo Troche
# 753 Ponce De Leon Ave Torre Medica Auxilio Mutuo |
$56.74 | 65 | 51 |
|
Lisandro Montalvo
512A Calle Juan J Jimenez |
$132.37 | 39 | 38 |
|
Maria Del Pilar Fernandez Marti
Ave Ponce De Leon Torre Auxilio Mutuo |
$14.30 | 24 | 24 |
|
Francisco J Torre
Paseo Del Prado |
$206.28 | 12 | 12 |
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 San Juan, PR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dialysis in San Juan, PR is $93.38 per claim, based on 5,444 claims from 13 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 San Juan, PR?
There are 13 Medicaid providers offering Dialysis related services in San Juan, PR according to public payment data.
What is the price range for Dialysis in San Juan, PR?
Medicaid reimbursement for Dialysis in San Juan, PR ranges from $14.30 to $206.28 per claim, with an average of $93.38. 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 San Juan, PR
Office Visit
Avg $18.99
3,140,039 claims
Blood Work & Lab Tests
Avg $9.31
1,652,042 claims
Pathology & Lab Services
Avg $77.12
603,331 claims
Dental Cleaning & Exam
Avg $20.92
561,409 claims
X-Ray
Avg $9.69
517,944 claims
Emergency Room Visit
Avg $66.54
406,486 claims
Urinalysis & Urine Tests
Avg $3.33
343,385 claims
Eye Exam
Avg $38.11
328,091 claims