Average Medicaid Dialysis Payments in Springfield, IL: $49.88
Avg. Paid
$49.88
Range
$20.81 โ $93.06
Total Claims
3,332
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 โ 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 Springfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nirali Babubhai Ramani
3401 Conifer Dr |
$27.34 | 14 | 12 |
|
Max Nutt
3401 Conifer Dr |
$25.42 | 21 | 12 |
|
Aileen Wendy Zhen
350 W Carpenter St |
$29.70 | 22 | 13 |
|
Bhavani Adusumilli
350 W Carpenter St |
$26.89 | 23 | 13 |
|
Merry C Downer
350 W Carpenter St |
$29.04 | 45 | 36 |
|
Bradford Lee West
350 W Carpenter St |
$20.81 | 45 | 27 |
|
Lawrence J Smith
3401 Conifer Dr |
$42.68 | 85 | 85 |
|
Richa Anand Pandey
350 W Carpenter St |
$46.09 | 96 | 93 |
|
Muhammad Kashif Qaseem
800 E Carpenter St |
$93.06 | 143 | 143 |
|
Nicolas A. Forero
350 W Carpenter St |
$41.75 | 285 | 228 |
|
Ashraf Tamizuddin
3401 Conifer Dr |
$45.81 | 473 | 450 |
|
Vikrampal S Bhatti
3401 Conifer Dr |
$84.38 | 667 | 650 |
|
Xueguang Chen
3401 Conifer Dr |
$35.78 | 1,413 | 1,130 |
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 | โ | โ | โ |
| 90952 | ESRD services child <2 2-3/mo | โ | โ | โ |
| 90954 | ESRD services child 2-11 4+/mo | โ | โ | โ |
| 90955 | ESRD services child 2-11 2-3/mo | โ | โ | โ |
| 90956 | ESRD services child 2-11 1/mo | โ | โ | โ |
| 90957 | ESRD services child 12-19 4+/mo | โ | โ | โ |
| 90958 | ESRD services 12-19 2-3/mo | โ | โ | โ |
| 90959 | ESRD services child 12-19 1/mo | โ | โ | โ |
| 90963 | ESRD home child <2 per month | โ | โ | โ |
| 90964 | ESRD home child 2-11 per mo | โ | โ | โ |
| 90965 | ESRD home child 12-19 per mo | โ | โ | โ |
| 90968 | ESRD home services per day 2-11 | โ | โ | โ |
| 90969 | ESRD home services per day 12-19 | โ | โ | โ |
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 Springfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dialysis in Springfield, IL is $49.88 per claim, based on 3,332 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 Springfield, IL?
There are 13 Medicaid providers offering Dialysis related services in Springfield, IL according to public payment data.
What is the price range for Dialysis in Springfield, IL?
Medicaid reimbursement for Dialysis in Springfield, IL ranges from $20.81 to $93.06 per claim, with an average of $49.88. 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 ยท 88 providers
Bronx, NY
Avg $67.93
715,062 claims ยท 69 providers
Flushing, NY
Avg $20.09
356,348 claims ยท 12 providers
New York, NY
Avg $119.97
272,948 claims ยท 124 providers
Los Angeles, CA
Avg $106.38
199,646 claims ยท 76 providers
Philadelphia, PA
Avg $48.86
199,529 claims ยท 108 providers
Riverside, CA
Avg $81.52
182,745 claims ยท 19 providers
Charlottesville, VA
Avg $308.66
177,053 claims ยท 15 providers
Other Procedures in Springfield, IL
Blood Work & Lab Tests
Avg $5.40
1,969,993 claims
Office Visit
Avg $38.46
1,154,993 claims
X-Ray
Avg $6.66
606,310 claims
Urinalysis & Urine Tests
Avg $3.01
520,146 claims
Emergency Room Visit
Avg $69.78
490,116 claims
Speech Therapy
Avg $17.02
248,732 claims
CT Scan (Computed Tomography)
Avg $50.70
241,309 claims
Dental Cleaning & Exam
Avg $32.13
212,993 claims