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
DIALYSIS ONE EVALUATION
Smithville, TX
See all hospitals reporting CPT 90945 →Price type
Ascension Seton’s median price of $718 is 35% above the median hospital's median price ($534), higher than 67% of the 1,949 hospitals reporting CPT 90945. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $464 | $464 | — | — | — | $464 – $464 |
| 2 | Aetna 4489_aetna aco hmo 20250801 percent of total billed charges · outpatientfrom % of charges | $892 | $812 | $400 | 49% | — | $269 – $1.2k |
| 3 | Aetna 3438_aetna aco ppo 20240701 percent of total billed charges · outpatientfrom % of charges | $930 | $847 | $418 | 49% | — | $280 – $1.2k |
| 4 | Aetna 3426_aetna sha aisd (smv) 20240701 percent of total billed charges · outpatientfrom % of charges | $989 | $900 | $444 | 49% | — | $298 – $1.3k |
| 5 | Aetna 4490_aetna multi-tier whole health sha 20250801 percent of total billed charges · outpatientfrom % of charges | $989 | $900 | $444 | 49% | — | $298 – $1.3k |
| 6 | Aetna 4486_aetna hmo 20250801 percent of total billed charges · outpatientfrom % of charges | $1.1k | $989 | $488 | 49% | — | $327 – $1.5k |
| 7 | Aetna 4335_aetna sha aisd 20250101 percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Aetna 4495_aetna aco hmo (smv) 20250801 percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Aetna 4496_aetna multi-tier whole health (smv) 20250801 percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Aetna 4488_aetna ppo 20250801 percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Aetna 4492_aetna hmo (smv) 20250801 percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Aetna 4493_aetna ppo (smv) 20250801 percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | Aetna 4483_aetna aco ppo/hmo (chi,dcn) 20250801 percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 14 | Aetna 4484_aetna multi-tier whole health sha (chi,dcn) 20250801 percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | Aetna 4481_aetna hmo (chi,dcn) 20250801 percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Aetna 4482_aetna ppo (chi,dcn) 20250801 percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
Last updated: Jan 1, 2026
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