Hemodialysis procedure requiring repeated evaluation
Medicare pricing data for 1,641 providers across 45 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Hemodialysis procedure requiring repeated evaluation (HCPCS code 90937) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $104.33, but hospitals typically charge $402.96 — a 3.9x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $104.33, your out-of-pocket cost would be approximately $20.87. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.9x more than what Medicare allows for this procedure. Medicare actually pays $82.87 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $137 | $535 | 4 | 45 | +30.9% |
| District of Columbia | $112 | $253 | 11 | 178 | +7.1% |
| New York | $112 | $435 | 176 | 5,228 | +7.0% |
| New Jersey | $108 | $341 | 96 | 2,916 | +3.4% |
| California | $107 | $453 | 136 | 4,382 | +2.5% |
| Connecticut | $107 | $473 | 30 | 230 | +2.1% |
| Massachusetts | $106 | $373 | 36 | 141 | +2.0% |
| Maryland | $105 | $434 | 51 | 180 | +0.8% |
| Washington | $104 | $263 | 24 | 116 | -0.6% |
| New Hampshire | $104 | $1,908 | 17 | 295 | -0.7% |
| Colorado | $102 | $616 | 20 | 68 | -2.4% |
| Illinois | $102 | $313 | 40 | 324 | -2.4% |
| Texas | $102 | $422 | 104 | 2,413 | -2.7% |
| Montana | $101 | $251 | 2 | 22 | -2.8% |
| Florida | $101 | $243 | 106 | 2,683 | -2.8% |
| Michigan | $101 | $376 | 49 | 550 | -2.8% |
| Pennsylvania | $101 | $367 | 80 | 685 | -2.9% |
| Kentucky | $100 | $328 | 14 | 194 | -3.9% |
| Hawaii | $100 | $153 | 3 | 39 | -3.9% |
| Virginia | $100 | $327 | 38 | 379 | -4.0% |
| Delaware | $100 | $465 | 8 | 34 | -4.1% |
| New Mexico | $100 | $379 | 3 | 25 | -4.2% |
| Puerto Rico | $99 | $111 | 15 | 121 | -4.9% |
| Ohio | $99 | $359 | 72 | 578 | -5.1% |
| Oregon | $99 | $352 | 4 | 14 | -5.3% |
| Louisiana | $98 | $265 | 30 | 368 | -5.9% |
| Oklahoma | $98 | $472 | 12 | 162 | -6.1% |
| South Carolina | $98 | $308 | 23 | 173 | -6.3% |
| Vermont | $98 | $420 | 3 | 33 | -6.4% |
| Missouri | $98 | $348 | 26 | 549 | -6.5% |
| Georgia | $97 | $402 | 43 | 208 | -7.0% |
| North Carolina | $97 | $341 | 75 | 875 | -7.0% |
| Kansas | $97 | $288 | 12 | 61 | -7.1% |
| Mississippi | $97 | $313 | 9 | 83 | -7.1% |
| West Virginia | $97 | $218 | 5 | 14 | -7.2% |
| Maine | $96 | $218 | 8 | 14 | -7.6% |
| Arkansas | $96 | $201 | 11 | 206 | -7.7% |
| Iowa | $96 | $337 | 6 | 24 | -8.1% |
| Alabama | $96 | $307 | 29 | 263 | -8.2% |
| Indiana | $95 | $429 | 50 | 424 | -8.6% |
| Arizona | $94 | $375 | 11 | 35 | -9.8% |
| Tennessee | $93 | $631 | 34 | 520 | -10.6% |
| Wisconsin | $93 | $882 | 22 | 51 | -10.7% |
| Minnesota | $91 | $484 | 29 | 136 | -13.0% |
| Nebraska | $83 | $261 | 8 | 50 | -20.5% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber