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
$385
Median
$504
High
$631
Filter by billing methodology
Filter by billing class
21 hospital rates
iThe hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 3 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 5 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 7 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $599 | $599 | — | — | — | $599 – $599 |
| 8 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 9 | Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 10 | Navicent Health Baldwin Inc Milledgeville, GA fee schedule · both | 1 | $599 | $599 | — | — | — | $599 – $599 |
| 11 | The Medical Center of Central Georgia Inc Macon, GA fee schedule · both | 1 | $599 | $599 | — | — | — | $599 – $599 |
| 12 | The Medical Center of Peach County Inc Byron, GA fee schedule · both | 1 | $577 | $577 | — | — | — | $577 – $577 |
| 13 | Trinity Medical Center Rock Island, IL fee schedule · both | 1 | $504 | $504 | — | — | — | $504 – $504 |
| 14 | Trinity Medical Center Bettendorf, IA fee schedule · both | 1 | $504 | $504 | — | — | — | $504 – $504 |
| 15 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI professional · fee schedule · inpatient | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 16 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI professional · fee schedule · outpatient | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 17 | Unity Healthcare Muscatine, IA fee schedule · both | 1 | $504 | $504 | — | — | — | $504 – $504 |
| 18 | Vanderbilt Bedford Hospital Shelbyville, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Vanderbilt University Medical Center Nashville, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 21 | Vanderbilt Wilson County Hospital Lebanon, TN fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting CPT 90953 · Snapshot 20261113T090226Z-3ce6c0b8