Dialysis services, 1 physician visit per month (20 years or older)
Medicare pricing data for 8,800 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
Dialysis services, 1 physician visit per month (20 years or older) (HCPCS code 90962) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $200.07, but hospitals typically charge $490.07 — a 2.4x 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 $200.07, your out-of-pocket cost would be approximately $40.01. 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 2.4x more than what Medicare allows for this procedure. Medicare actually pays $157.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $251 | $1,031 | 8 | 151 | +25.5% |
| District of Columbia | $219 | $494 | 39 | 1,396 | +9.6% |
| New York | $216 | $520 | 516 | 6,074 | +8.1% |
| California | $216 | $558 | 900 | 25,620 | +7.7% |
| New Jersey | $214 | $465 | 296 | 4,429 | +7.2% |
| Massachusetts | $213 | $612 | 170 | 3,110 | +6.4% |
| Maryland | $211 | $446 | 190 | 2,281 | +5.3% |
| Connecticut | $210 | $552 | 84 | 461 | +5.0% |
| Washington | $203 | $510 | 167 | 6,310 | +1.5% |
| New Hampshire | $202 | $682 | 21 | 157 | +1.2% |
| Rhode Island | $202 | $462 | 23 | 94 | +0.9% |
| Illinois | $202 | $535 | 378 | 5,364 | +0.9% |
| Montana | $200 | $546 | 22 | 1,242 | +0.1% |
| Florida | $199 | $404 | 578 | 10,276 | -0.7% |
| Virginia | $197 | $474 | 216 | 2,094 | -1.4% |
| Michigan | $197 | $409 | 289 | 3,870 | -1.4% |
| Colorado | $197 | $479 | 116 | 953 | -1.7% |
| Oregon | $196 | $525 | 104 | 1,892 | -2.2% |
| Puerto Rico | $196 | $212 | 53 | 770 | -2.3% |
| Texas | $196 | $451 | 715 | 6,174 | -2.3% |
| Maine | $195 | $523 | 23 | 134 | -2.7% |
| Pennsylvania | $194 | $410 | 352 | 2,699 | -2.8% |
| North Dakota | $194 | $595 | 30 | 1,420 | -3.0% |
| Hawaii | $193 | $532 | 62 | 2,284 | -3.4% |
| New Mexico | $193 | $486 | 55 | 904 | -3.6% |
| Minnesota | $193 | $610 | 155 | 4,355 | -3.6% |
| South Dakota | $193 | $425 | 32 | 705 | -3.7% |
| Missouri | $192 | $441 | 185 | 3,623 | -3.9% |
| Georgia | $192 | $472 | 341 | 4,252 | -3.9% |
| Wyoming | $192 | $573 | 9 | 420 | -4.2% |
| West Virginia | $190 | $405 | 60 | 998 | -4.9% |
| Ohio | $190 | $436 | 371 | 3,930 | -5.3% |
| Kansas | $189 | $433 | 41 | 942 | -5.5% |
| Utah | $189 | $431 | 58 | 737 | -5.6% |
| Louisiana | $188 | $405 | 160 | 2,740 | -5.8% |
| Arizona | $188 | $431 | 191 | 3,002 | -6.0% |
| Kentucky | $188 | $387 | 143 | 1,747 | -6.1% |
| Oklahoma | $187 | $389 | 97 | 4,312 | -6.4% |
| Indiana | $187 | $414 | 184 | 2,190 | -6.6% |
| Nevada | $187 | $534 | 100 | 763 | -6.7% |
| Idaho | $186 | $430 | 37 | 499 | -7.0% |
| Nebraska | $186 | $527 | 47 | 831 | -7.1% |
| Delaware | $185 | $452 | 48 | 347 | -7.3% |
| Iowa | $185 | $499 | 55 | 711 | -7.5% |
| Tennessee | $185 | $459 | 180 | 3,060 | -7.6% |
| Vermont | $185 | $771 | 6 | 49 | -7.7% |
| Wisconsin | $184 | $853 | 122 | 1,113 | -7.9% |
| South Carolina | $184 | $462 | 153 | 829 | -8.0% |
| Mississippi | $182 | $543 | 87 | 1,339 | -9.2% |
| Arkansas | $182 | $391 | 64 | 1,419 | -9.2% |
| North Carolina | $181 | $524 | 304 | 1,445 | -9.7% |
| Alabama | $178 | $445 | 139 | 1,051 | -11.0% |
⚠️ 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