CPT 90967

Dialysis services for kidney failure, under age 2, partial month

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

Esrd home pt serv p day <2

Payer pricing summary

Low

Average

$53

Median

$28

High

$461

Payer rate distribution

Filter by billing methodology

All methodologies Case rate 33 Fee schedule 49 Per diem 6 Percent of billed charges 23 Other 12

Filter by billing class

#
1	Humana fee schedule · outpatient · +8 other terms	187	$17	$157	$739	471%	—	$11 – $8.3k
2	Aetna fee schedule · outpatient · +6 other terms	88	$17	$469	$1.5k	317%	—	$14 – $8.4k
3	UnitedHealthcare fee schedule · outpatient · +7 other terms	88	$17	$152	$463	304%	—	$3 – $2.3k
4	Anthem fee schedule · outpatient · +4 other terms	66	$19	$77	$163	213%	—	$16 – $1.2k
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	53	$31	$55	$44	80%	—	$0 – $292
6	Cigna fee schedule · outpatient · +6 other terms	42	$17	$24	$9	39%	—	$16 – $51
7	Molina professional · fee schedule · outpatient · +6 other terms	36	$17	$17	$2	13%	—	$2 – $23
8	WellCare fee schedule · both · +5 other terms	35	$16	$41	$74	180%	—	$13 – $274
9	Kaiser fee schedule · outpatient · +4 other terms	26	$17	$20	$7	36%	—	$16 – $38
10	Devoted fee schedule · outpatient · +4 other terms	21	$17	$17	$0	1%	—	$17 – $17

Page 1 of 5 · 49 payers

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