Monthly dialysis-related care for kidney failure patients

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

PR ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT

Payers reporting CPT 90962

Payer pricing summary

Low

Average

$350

Median

$287

High

$813

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +22 other terms	188	$193	$586	$866	148%	—	$124 – $8.3k
2	Aetna fee schedule · outpatient · +21 other terms	89	$196	$619	$1.4k	219%	—	$79 – $8.4k
3	UnitedHealthcare fee schedule · both · +23 other terms	88	$260	$545	$627	115%	—	$31 – $1.8k
4	Anthem fee schedule · outpatient · +16 other terms	63	$207	$495	$542	109%	—	$159 – $2.5k
5	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	59	$294	$497	$330	66%	—	$0 – $1.3k
6	Cigna fee schedule · outpatient · +19 other terms	44	$200	$280	$140	50%	—	$100 – $858
7	Molina facility · case rate · outpatient · +13 other terms	39	$391	$361	$125	35%	—	$109 – $774
8	WellCare fee schedule · both · +8 other terms	36	$191	$200	$51	25%	—	$134 – $324
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	$200	$229	$80	35%	—	$183 – $429
11	Regence professional · fee schedule · outpatient · +4 other terms	22	$196	$223	$66	30%	—	$196 – $495
12	Devoted fee schedule · outpatient · +5 other terms	21	$200	$199	$2	1%	—	$196 – $200
13	Caresource facility · case rate · outpatient · +9 other terms	20	$337	$344	$87	25%	—	$187 – $559
14	Medicare fee schedule · outpatient · +5 other terms	18	$196	$192	$5	3%	—	$183 – $200
15	Highmark fee schedule · outpatient · +7 other terms	15	$262	$255	$74	29%	—	$25 – $692
16	Ambetter fee schedule · outpatient · +8 other terms	14	$634	$539	$136	25%	—	$251 – $634
17	MultiPlan fee schedule · both · +13 other terms	14	$371	$364	$110	30%	—	$149 – $613
18	Optum facility · case rate · outpatient · +8 other terms	14	$308	$320	$79	25%	—	$202 – $497
19	Wellmark fee schedule · both · +8 other terms	13	$345	$342	$93	27%	—	$190 – $441
20	Aetna Better Health fee schedule · outpatient · +7 other terms	12	$201	$195	$7	4%	—	$187 – $201
21	Amerihealth Caritas fee schedule · both · +7 other terms	12	$135	$135	—	—	—	$135 – $135
22	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$826	$682	$316	46%	—	$205 – $1.0k
23	Cigna Healthspring fee schedule · both · +2 other terms	12	$189	$190	$3	1%	—	$189 – $198
24	Medica fee schedule · outpatient · +8 other terms	12	$687	$649	$230	35%	—	$114 – $909
25	Oscar fee schedule · outpatient · +7 other terms	11	$145	$168	$147	87%	—	$1 – $359

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