Monthly end-stage kidney disease care visits, age 20 and older

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Dialysis services, 2-3 physician visits per month (20 years or older)

Payers reporting CPT 90961

Payer pricing summary

Low

Average

$461

Median

$396

High

$1.3k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +22 other terms	188	$279	$756	$957	127%	—	$179 – $8.3k
2	UnitedHealthcare fee schedule · outpatient · +23 other terms	90	$288	$372	$380	102%	—	$21 – $2.3k
3	Aetna fee schedule · outpatient · +21 other terms	88	$286	$736	$1.4k	188%	—	$79 – $8.4k
4	Anthem fee schedule · outpatient · +15 other terms	66	$282	$677	$780	115%	—	$21 – $3.6k
5	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	58	$408	$688	$469	68%	—	$0 – $1.8k
6	Cigna fee schedule · outpatient · +19 other terms	43	$289	$392	$147	37%	—	$265 – $857
7	Molina facility · case rate · outpatient · +14 other terms	39	$391	$394	$120	31%	—	$158 – $774
8	WellCare fee schedule · both · +8 other terms	37	$274	$293	$72	25%	—	$185 – $468
9	Bcbs Tx per diem · outpatient · +1 other terms	30	$502	$493	$92	19%	—	$314 – $663
10	Kaiser fee schedule · outpatient · +9 other terms	26	$289	$332	$117	35%	—	$265 – $625
11	Regence professional · fee schedule · outpatient · +5 other terms	22	$285	$324	$95	29%	—	$285 – $719
12	Devoted fee schedule · outpatient · +5 other terms	21	$289	$287	$3	1%	—	$283 – $289
13	Caresource facility · case rate · outpatient · +9 other terms	20	$347	$385	$113	29%	—	$220 – $602
14	Medicare fee schedule · outpatient · +5 other terms	18	$283	$278	$7	2%	—	$265 – $289
15	Highmark fee schedule · outpatient · +9 other terms	15	$380	$373	$109	29%	—	$25 – $1.0k
16	Ambetter fee schedule · outpatient · +8 other terms	14	$926	$785	$200	26%	—	$364 – $926
17	MultiPlan fee schedule · both · +12 other terms	14	$537	$505	$192	38%	—	$217 – $885
18	Optum facility · case rate · outpatient · +8 other terms	14	$308	$332	$66	20%	—	$275 – $497
19	Wellmark fee schedule · both · +8 other terms	13	$500	$495	$135	27%	—	$276 – $638
20	Aetna Better Health fee schedule · outpatient · +7 other terms	12	$294	$285	$11	4%	—	$272 – $294
21	Amerihealth Caritas fee schedule · both · +7 other terms	12	$187	$187	—	—	—	$187 – $187
22	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$1.1k	$907	$396	44%	—	$297 – $1.3k
23	Cigna Healthspring fee schedule · both · +2 other terms	12	$274	$275	$4	1%	—	$274 – $288
24	Medica fee schedule · outpatient · +8 other terms	12	$993	$937	$332	35%	—	$160 – $1.3k
25	Tricare fee schedule · outpatient · +7 other terms	11	$242	$247	$19	8%	—	$242 – $307

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