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
Home dialysis services per month (20 years or older)
Low
$425
Average
$513
Median
$542
High
$542
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5 hospital rates
iThe hospitals that file a Premera 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 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $542 | $542 | — | — | — | $542 – $542 |
| 2 | Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · both | 1 | $542 | $542 | — | — | — | $542 – $542 |
| 3 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · inpatient | 1 | $542 | $542 | — | — | — | $542 – $542 |
| 4 | Mercy Medical Center-Clinton Inc Clinton, IA professional · fee schedule · outpatient | 1 | $542 | $542 | — | — | — | $542 – $542 |
| 5 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $317 | $425 | $152 | 36% | — | $317 – $640 |
← Payers reporting CPT 90966 · Snapshot 20261112T181611Z-3fa9fb76