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 services, 4 or more physician visits per month (12-19 years)
Bonham, TX
See all hospitals reporting CPT 90957 →Price type
TMC Bonham Hospital’s median price of $884 is 18% above the median hospital's median price ($750), higher than 67% of the 800 hospitals reporting CPT 90957. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 3 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 | Molina medicaid fee schedule · both | $876 | $827 | $115 | 14% | — | $669 – $936 |
| 2 | Superior Healthplan medicaid fee schedule · both | $863 | $863 | $29 | 3% | — | $834 – $892 |
| 3 | UnitedHealthcare medicaid fee schedule · both | $863 | $863 | $29 | 3% | — | $834 – $892 |
Last updated: Sep 1, 2026
See Monthly dialysis-related care for ESRD patients aged 12-19 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.