Home dialysis services per month (20 years or older)
Medicare pricing data for 7,090 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
Home dialysis services per month (20 years or older) (HCPCS code 90966) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $288.19, but hospitals typically charge $650.97 — a 2.3x 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 $288.19, your out-of-pocket cost would be approximately $57.64. 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 2.3x more than what Medicare allows for this procedure. Medicare actually pays $226.20 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $386 | $1,399 | 7 | 836 | +33.8% |
| District of Columbia | $318 | $659 | 34 | 1,224 | +10.2% |
| New Jersey | $310 | $645 | 215 | 6,210 | +7.4% |
| California | $309 | $663 | 720 | 33,000 | +7.2% |
| Maryland | $308 | $621 | 163 | 7,633 | +7.0% |
| New York | $308 | $706 | 345 | 11,393 | +6.7% |
| Connecticut | $307 | $732 | 84 | 2,656 | +6.5% |
| Massachusetts | $302 | $813 | 154 | 4,669 | +4.8% |
| New Hampshire | $299 | $791 | 22 | 1,292 | +3.9% |
| Illinois | $295 | $682 | 367 | 17,393 | +2.4% |
| Oregon | $293 | $726 | 75 | 3,152 | +1.5% |
| Colorado | $292 | $714 | 80 | 3,459 | +1.5% |
| Hawaii | $292 | $737 | 43 | 1,832 | +1.4% |
| Pennsylvania | $291 | $570 | 310 | 11,417 | +0.8% |
| Washington | $291 | $635 | 129 | 6,266 | +0.8% |
| Montana | $290 | $645 | 21 | 1,134 | +0.6% |
| Florida | $290 | $600 | 519 | 20,068 | +0.6% |
| Vermont | $289 | $1,244 | 3 | 113 | +0.4% |
| Delaware | $289 | $629 | 34 | 1,696 | +0.4% |
| Michigan | $289 | $590 | 229 | 10,403 | +0.3% |
| Rhode Island | $287 | $642 | 26 | 612 | -0.4% |
| Virginia | $287 | $651 | 167 | 8,677 | -0.5% |
| Nevada | $286 | $775 | 61 | 2,978 | -0.9% |
| New Mexico | $285 | $634 | 42 | 2,923 | -1.0% |
| North Dakota | $284 | $808 | 25 | 945 | -1.6% |
| Minnesota | $283 | $837 | 99 | 3,463 | -1.8% |
| Louisiana | $281 | $572 | 112 | 4,735 | -2.6% |
| Texas | $281 | $682 | 643 | 26,707 | -2.6% |
| North Carolina | $280 | $663 | 237 | 11,284 | -3.0% |
| Puerto Rico | $280 | $289 | 48 | 658 | -3.0% |
| Maine | $279 | $603 | 20 | 822 | -3.1% |
| Georgia | $279 | $643 | 264 | 11,678 | -3.1% |
| Ohio | $279 | $539 | 304 | 9,949 | -3.2% |
| South Dakota | $278 | $624 | 28 | 1,126 | -3.4% |
| Indiana | $278 | $565 | 163 | 7,150 | -3.6% |
| Missouri | $278 | $656 | 157 | 8,051 | -3.7% |
| Utah | $277 | $675 | 48 | 2,017 | -3.8% |
| South Carolina | $277 | $574 | 116 | 6,243 | -4.0% |
| West Virginia | $276 | $564 | 41 | 1,469 | -4.1% |
| Kentucky | $275 | $521 | 95 | 3,705 | -4.5% |
| Idaho | $275 | $551 | 28 | 2,015 | -4.6% |
| Iowa | $274 | $668 | 47 | 3,007 | -4.9% |
| Kansas | $274 | $610 | 46 | 2,960 | -5.0% |
| Arizona | $274 | $598 | 112 | 5,721 | -5.0% |
| Mississippi | $273 | $702 | 75 | 5,035 | -5.3% |
| Wisconsin | $273 | $1,063 | 99 | 3,941 | -5.3% |
| Alabama | $273 | $546 | 95 | 4,462 | -5.4% |
| Tennessee | $271 | $736 | 149 | 8,264 | -6.0% |
| Oklahoma | $271 | $537 | 77 | 5,380 | -6.1% |
| Nebraska | $270 | $644 | 27 | 1,768 | -6.4% |
| Wyoming | $267 | $817 | 5 | 173 | -7.5% |
| Arkansas | $263 | $492 | 49 | 3,335 | -8.8% |
⚠️ 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