Dialysis services, per day, less than full month service (20 years or older)
Medicare pricing data for 5,069 providers across 51 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, per day, less than full month service (20 years or older) (HCPCS code 90970) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $9.21, but hospitals typically charge $23.57 — a 2.6x 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 $9.21, your out-of-pocket cost would be approximately $1.84. 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 2.6x more than what Medicare allows for this procedure. Medicare actually pays $7.31 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $12 | $30 | 6 | 1,482 | +27.8% |
| Connecticut | $10 | $29 | 77 | 5,413 | +7.5% |
| California | $10 | $24 | 401 | 37,019 | +7.4% |
| Massachusetts | $10 | $27 | 98 | 16,751 | +6.9% |
| New Jersey | $10 | $24 | 127 | 15,406 | +6.1% |
| New York | $10 | $29 | 231 | 12,201 | +5.2% |
| Maryland | $10 | $23 | 129 | 11,663 | +3.9% |
| Illinois | $10 | $29 | 195 | 22,336 | +3.7% |
| Hawaii | $9 | $21 | 29 | 2,788 | +2.3% |
| Florida | $9 | $20 | 325 | 61,150 | +1.5% |
| District of Columbia | $9 | $23 | 5 | 844 | +1.3% |
| Michigan | $9 | $20 | 185 | 9,628 | +1.2% |
| New Hampshire | $9 | $30 | 22 | 3,146 | +1.1% |
| Oregon | $9 | $25 | 40 | 2,307 | +0.5% |
| Colorado | $9 | $23 | 111 | 12,617 | -0.2% |
| New Mexico | $9 | $25 | 35 | 18,298 | -0.3% |
| Washington | $9 | $23 | 100 | 11,224 | -0.3% |
| Texas | $9 | $24 | 513 | 42,994 | -0.5% |
| Nevada | $9 | $24 | 61 | 3,540 | -0.7% |
| Rhode Island | $9 | $20 | 12 | 289 | -0.7% |
| Delaware | $9 | $23 | 42 | 8,214 | -0.8% |
| North Dakota | $9 | $29 | 25 | 2,274 | -0.8% |
| Pennsylvania | $9 | $20 | 234 | 21,763 | -0.9% |
| Puerto Rico | $9 | $12 | 18 | 1,823 | -1.5% |
| Arizona | $9 | $19 | 145 | 18,163 | -1.5% |
| Louisiana | $9 | $21 | 104 | 4,609 | -2.0% |
| South Dakota | $9 | $11 | 30 | 3,458 | -2.1% |
| Georgia | $9 | $23 | 134 | 11,640 | -3.3% |
| Missouri | $9 | $25 | 97 | 10,494 | -3.3% |
| Ohio | $9 | $19 | 128 | 9,940 | -3.3% |
| Virginia | $9 | $23 | 146 | 9,343 | -3.4% |
| Minnesota | $9 | $47 | 74 | 9,280 | -3.6% |
| South Carolina | $9 | $22 | 106 | 8,900 | -3.9% |
| Kansas | $9 | $20 | 35 | 8,242 | -4.0% |
| Nebraska | $9 | $21 | 16 | 4,707 | -4.1% |
| Montana | $9 | $25 | 14 | 1,846 | -4.3% |
| Mississippi | $9 | $27 | 64 | 3,851 | -4.6% |
| Vermont | $9 | $40 | 5 | 824 | -4.7% |
| Alabama | $9 | $18 | 72 | 6,797 | -4.7% |
| Iowa | $9 | $25 | 40 | 10,402 | -4.8% |
| Kentucky | $9 | $15 | 44 | 9,113 | -4.8% |
| West Virginia | $9 | $21 | 26 | 2,709 | -5.0% |
| Idaho | $9 | $18 | 19 | 1,206 | -5.2% |
| North Carolina | $9 | $26 | 283 | 14,842 | -5.5% |
| Oklahoma | $9 | $20 | 48 | 6,249 | -5.8% |
| Wisconsin | $9 | $43 | 98 | 8,209 | -5.8% |
| Indiana | $9 | $20 | 101 | 6,296 | -5.9% |
| Tennessee | $9 | $21 | 58 | 7,600 | -6.3% |
| Arkansas | $9 | $23 | 46 | 10,147 | -6.4% |
| Maine | $9 | $18 | 30 | 798 | -7.4% |
| Utah | $9 | $19 | 32 | 2,318 | -7.5% |
⚠️ 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