Hemodialysis procedure with physician evaluation
Medicare pricing data for 12,826 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Hemodialysis procedure with physician evaluation (HCPCS code 90935) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $70.46, but hospitals typically charge $245.07 — a 3.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $70.46, your out-of-pocket cost would be approximately $14.09. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $55.85 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $94 | $668 | 22 | 1,642 | +33.8% |
| District of Columbia | $78 | $276 | 59 | 3,745 | +10.2% |
| New York | $76 | $257 | 675 | 49,712 | +8.3% |
| Montana | $76 | $305 | 16 | 720 | +7.8% |
| New Jersey | $75 | $226 | 456 | 24,078 | +6.4% |
| California | $75 | $216 | 959 | 44,596 | +5.7% |
| Connecticut | $74 | $363 | 134 | 7,612 | +4.6% |
| Maryland | $73 | $242 | 315 | 18,834 | +4.3% |
| Massachusetts | $73 | $253 | 295 | 19,798 | +3.5% |
| Illinois | $72 | $323 | 572 | 26,305 | +2.2% |
| Hawaii | $72 | $169 | 41 | 1,023 | +1.8% |
| Washington | $71 | $210 | 229 | 8,797 | +1.2% |
| Florida | $71 | $192 | 736 | 37,590 | +1.2% |
| Michigan | $71 | $185 | 428 | 18,642 | +0.5% |
| Colorado | $71 | $327 | 183 | 4,932 | +0.5% |
| New Hampshire | $71 | $418 | 36 | 2,759 | +0.4% |
| Oregon | $71 | $213 | 110 | 4,349 | +0.3% |
| Rhode Island | $71 | $197 | 40 | 1,344 | +0.2% |
| Puerto Rico | $70 | $100 | 63 | 909 | -0.8% |
| Pennsylvania | $70 | $224 | 668 | 32,866 | -0.9% |
| Texas | $69 | $255 | 1,074 | 41,417 | -1.5% |
| Wyoming | $69 | $209 | 6 | 157 | -1.6% |
| Virginia | $69 | $228 | 372 | 14,290 | -1.9% |
| Delaware | $69 | $296 | 99 | 4,943 | -2.0% |
| Nevada | $69 | $237 | 126 | 4,287 | -2.0% |
| South Dakota | $68 | $195 | 31 | 1,518 | -2.9% |
| North Dakota | $68 | $375 | 36 | 2,070 | -3.2% |
| Missouri | $68 | $243 | 299 | 13,058 | -3.5% |
| Georgia | $68 | $256 | 412 | 13,861 | -3.5% |
| West Virginia | $68 | $206 | 91 | 3,094 | -3.5% |
| Louisiana | $68 | $187 | 249 | 10,950 | -3.6% |
| Ohio | $67 | $234 | 613 | 23,597 | -4.3% |
| Kentucky | $67 | $218 | 191 | 5,518 | -4.4% |
| New Mexico | $67 | $217 | 81 | 3,718 | -4.4% |
| North Carolina | $67 | $250 | 525 | 22,329 | -4.4% |
| Arizona | $67 | $219 | 295 | 5,992 | -4.7% |
| Kansas | $67 | $204 | 60 | 2,976 | -4.8% |
| Alabama | $67 | $197 | 214 | 11,282 | -5.0% |
| Iowa | $67 | $319 | 85 | 3,558 | -5.4% |
| Utah | $67 | $212 | 92 | 1,462 | -5.6% |
| Mississippi | $66 | $270 | 109 | 9,389 | -5.7% |
| South Carolina | $66 | $227 | 242 | 13,849 | -5.9% |
| Tennessee | $66 | $263 | 267 | 14,138 | -5.9% |
| Minnesota | $66 | $327 | 221 | 8,103 | -6.0% |
| Maine | $66 | $208 | 53 | 2,825 | -6.1% |
| Arkansas | $66 | $177 | 99 | 5,296 | -6.2% |
| Oklahoma | $66 | $227 | 132 | 6,877 | -6.4% |
| Wisconsin | $66 | $486 | 239 | 10,194 | -6.8% |
| Nebraska | $65 | $230 | 67 | 4,017 | -7.1% |
| Vermont | $65 | $283 | 11 | 794 | -7.1% |
| Indiana | $65 | $209 | 337 | 14,296 | -7.1% |
| Idaho | $65 | $153 | 48 | 911 | -7.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber