CPT 90953
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Esrd serv 1 visit p mo <2yrs
Low
$0
Average
$1.1k
Median
$649
High
$13.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
48 payers; the 90th percentile is 5.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · both · +17 other terms | 70 | $722 | $2.0k | $1.7k | 82% | — | $249 – $4.1k |
| 2 | Humana fee schedule · outpatient · +13 other terms | 57 | $2.3k | $2.1k | $1.2k | 57% | — | $244 – $8.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 45 | $984 | $1.3k | $863 | 64% | — | $0 – $3.4k |
| 4 | Aetna fee schedule · both · +15 other terms | 31 | $459 | $560 | $145 | 26% | — | $361 – $1.2k |
| 5 | Bcbs Tx per diem · outpatient | 30 | $502 | $493 | $92 | 19% | — | $314 – $663 |
| 6 | Molina facility · case rate · outpatient · +13 other terms | 29 | $399 | $408 | $102 | 25% | — | $227 – $774 |
| 7 | Anthem fee schedule · both · +10 other terms | 28 | $362 | $409 | $123 | 30% | — | $362 – $949 |
| 8 | Cigna fee schedule · both · +13 other terms | 21 | $1.3k | $1.4k | $385 | 27% | — | $507 – $2.3k |
| 9 | WellCare fee schedule · both · +5 other terms | 17 | $249 | $256 | $11 | 4% | — | $246 – $274 |
| 10 | Caresource facility · case rate · outpatient · +4 other terms | 15 | $330 | $354 | $81 | 23% | — | $220 – $559 |
← Hospitals reporting CPT 90953 · Snapshot 20261113T090226Z-3ce6c0b8