Average Medicaid Dialysis Payments
Typical Medicaid Dialysis reimbursement across 1,692 cities
Avg. Medicaid Paid
$71.66
Price Range
$0.00 – $1,672
Total Claims
15.3M
Cities
1692
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.
About This Procedure
Dialysis filters waste and excess fluid from the blood when the kidneys can no longer perform this function adequately. Includes hemodialysis and peritoneal dialysis.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Cary, NC | $56.57 | $14.31 – $90.10 | 10,589 | 10 |
| Hartsville, SC | $23.14 | $2.80 – $56.14 | 10,573 | 3 |
| Walnut Creek, CA | $125.24 | $90.11 – $604.05 | 10,568 | 9 |
| Bloomfield, CT | $66.95 | $35.90 – $81.36 | 10,523 | 6 |
| Harrisburg, PA | $3.63 | $0.44 – $7.45 | 10,517 | 3 |
| Euclid, OH | $34.16 | $8.20 – $42.27 | 10,510 | 7 |
| Petersburg, VA | $77.72 | $50.90 – $540.84 | 10,482 | 5 |
| Concord, CA | $165.27 | $47.24 – $422.28 | 10,454 | 11 |
| Far Rockaway, NY | $259.89 | $238.45 – $293.29 | 10,422 | 2 |
| Palm Desert, CA | $61.28 | $0.00 – $61.48 | 10,351 | 2 |
| Paramount, CA | $109.43 | $25.04 – $214.25 | 10,307 | 5 |
| Portsmouth, VA | $70.39 | $36.63 – $258.79 | 10,150 | 8 |
| Oxford, MS | $41.12 | $35.85 – $48.14 | 10,122 | 3 |
| Sanford, NC | $25.67 | $11.29 – $39.64 | 10,070 | 12 |
| Jamaica, NY | $282.32 | $277.42 – $283.40 | 9,951 | 2 |
| Goldsboro, NC | $35.26 | $19.26 – $50.24 | 9,905 | 6 |
| Temple Terrace, FL | $31.48 | $14.49 – $59.48 | 9,873 | 9 |
| Hudson, FL | $34.74 | $20.88 – $164.80 | 9,859 | 10 |
| Fitchburg, WI | $79.43 | $23.31 – $96.16 | 9,835 | 8 |
| Fairmont, WV | $60.02 | $60.02 – $60.02 | 9,834 | 1 |
| Westwood, KS | $94.42 | $94.42 – $94.42 | 9,831 | 1 |
| Evergreen Park, IL | $74.77 | $42.06 – $143.93 | 9,818 | 13 |
| Oceanside, CA | $119.43 | $94.71 – $174.25 | 9,817 | 5 |
| Fort Collins, CO | $38.12 | $24.78 – $62.14 | 9,792 | 11 |
| Vineland, NJ | $96.52 | $34.65 – $246.80 | 9,784 | 5 |
| Pageland, SC | $5.55 | $5.55 – $5.55 | 9,783 | 1 |
| Wildomar, CA | $119.87 | $83.70 – $137.70 | 9,757 | 5 |
| Boise, ID | $35.69 | $19.32 – $59.80 | 9,731 | 5 |
| Northport, AL | $25.66 | $25.66 – $25.66 | 9,726 | 1 |
| Northfield, NJ | $103.04 | $31.98 – $141.51 | 9,681 | 7 |
| Inglewood, CA | $149.67 | $47.00 – $215.62 | 9,657 | 10 |
| Sioux City, IA | $54.75 | $44.00 – $72.84 | 9,651 | 5 |
| Rancho Mirage, CA | $101.14 | $83.52 – $103.83 | 9,645 | 2 |
| Hammond, LA | $19.73 | $0.78 – $34.50 | 9,518 | 4 |
| Orange City, FL | $16.85 | $0.00 – $22.61 | 9,469 | 7 |
| Queens Village, NY | $250.37 | $250.37 – $250.37 | 9,323 | 1 |
| Hainesport, NJ | $30.03 | $11.34 – $36.70 | 9,254 | 9 |
| Fredericksburg, VA | $81.32 | $36.77 – $159.23 | 9,226 | 17 |
| Medford, OR | $48.90 | $21.42 – $136.51 | 9,202 | 10 |
| Yakima, WA | $59.07 | $56.76 – $94.57 | 9,100 | 5 |
| Roanoke Rapids, NC | $33.56 | $32.42 – $34.63 | 9,094 | 3 |
| Dyersburg, TN | $20.89 | $14.54 – $21.95 | 9,084 | 3 |
| Greenbelt, MD | $57.48 | $45.70 – $148.34 | 9,075 | 6 |
| Whittier, CA | $151.81 | $19.21 – $193.38 | 9,075 | 8 |
| Ventura, CA | $298.90 | $151.35 – $314.81 | 9,071 | 3 |
| Vancouver, WA | $42.00 | $0.00 – $46.65 | 9,067 | 10 |
| Gainesville, FL | $23.67 | $11.57 – $34.45 | 9,008 | 17 |
| Plattsburgh, NY | $197.12 | $84.32 – $235.91 | 8,992 | 3 |
| Macon, GA | $15.72 | $2.84 – $57.67 | 8,974 | 5 |
| West Springfield, MA | $51.47 | $42.58 – $73.44 | 8,974 | 6 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| 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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.