Average Medicaid Dialysis Payments in Wilmington, NC: $34.16
Avg. Paid
$34.16
Range
$5.00 โ $64.38
Total Claims
21,919
Providers
15
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 Wilmington, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jonathan Bradley Woods
1302 Medical Center Dr |
$41.62 | 3,615 | 2,470 |
|
John Murdoch Herion
1302 Medical Center Dr |
$44.51 | 3,148 | 2,189 |
|
Eric Pierson
1302 Medical Center Dr |
$27.83 | 3,039 | 2,141 |
|
Douglas Andrew Hamerski
1302 Medical Center Dr |
$38.69 | 2,479 | 1,913 |
|
Robert Alexander Moore
1302 Medical Center Dr |
$27.49 | 2,460 | 1,727 |
|
Derrick Llewellyn Robinson
1302 Medical Center Dr |
$34.48 | 2,421 | 1,841 |
|
Elizabeth Weaver Dehmer
Eastern Nephrology Associates Pllc |
$36.25 | 1,120 | 920 |
|
Douglas R Linfert
1302 Medical Center Dr |
$29.00 | 906 | 592 |
|
Brian Donner
1302 Medical Center Dr |
$20.33 | 719 | 571 |
|
Eric Alan Kirk
1302 Medical Center Dr |
$19.94 | 647 | 441 |
|
John Alexander Mihaltses
Eastern Nephrology Associates, Pllc |
$23.44 | 620 | 364 |
|
James Carden Mccabe
1302 Medical Center Dr |
$26.78 | 472 | 404 |
|
Michelle Lee Taylor
2131 S 17Th St |
$5.00 | 206 | 123 |
|
Stephanie E. D. Malone
1302 Medical Center Dr |
$64.38 | 49 | 42 |
|
Jennifer Reynolds Parrotte
1202 Medical Center Dr |
$50.76 | 18 | 14 |
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 Wilmington, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Dialysis in Wilmington, NC is $34.16 per claim, based on 21,919 claims from 15 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 Wilmington, NC?
There are 15 Medicaid providers offering Dialysis related services in Wilmington, NC according to public payment data.
What is the price range for Dialysis in Wilmington, NC?
Medicaid reimbursement for Dialysis in Wilmington, NC ranges from $5.00 to $64.38 per claim, with an average of $34.16. 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 Wilmington, NC
Office Visit
Avg $55.56
1,298,205 claims
Speech Therapy
Avg $55.85
566,290 claims
Emergency Room Visit
Avg $138.32
511,613 claims
Psychiatric Evaluation
Avg $41.28
438,201 claims
Blood Work & Lab Tests
Avg $11.72
431,588 claims
Substance Abuse Treatment
Avg $59.14
392,292 claims
Dental Cleaning & Exam
Avg $31.04
328,640 claims
Physical Therapy
Avg $63.02
316,863 claims