Dialysis procedure including 1 evaluation
Medicare pricing data for 6,086 providers across 50 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
Dialysis procedure including 1 evaluation (HCPCS code 90945) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $84.26, but hospitals typically charge $292.81 — a 3.5x 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 $84.26, your out-of-pocket cost would be approximately $16.85. 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 3.5x more than what Medicare allows for this procedure. Medicare actually pays $66.88 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $112 | $712 | 7 | 810 | +33.1% |
| Montana | $98 | $514 | 14 | 220 | +16.4% |
| California | $92 | $301 | 476 | 8,638 | +9.4% |
| Massachusetts | $90 | $316 | 184 | 4,204 | +7.4% |
| District of Columbia | $90 | $314 | 48 | 937 | +7.3% |
| New Jersey | $89 | $281 | 188 | 2,873 | +6.1% |
| New York | $89 | $281 | 324 | 5,258 | +5.1% |
| Maryland | $88 | $307 | 200 | 5,547 | +5.0% |
| Connecticut | $88 | $340 | 72 | 963 | +4.2% |
| Illinois | $87 | $364 | 226 | 3,647 | +3.5% |
| Oregon | $87 | $234 | 48 | 873 | +3.2% |
| Hawaii | $87 | $183 | 15 | 375 | +3.1% |
| Washington | $86 | $236 | 120 | 1,435 | +1.6% |
| Colorado | $86 | $359 | 106 | 1,312 | +1.5% |
| Nevada | $85 | $265 | 20 | 315 | +1.0% |
| New Hampshire | $85 | $462 | 28 | 868 | +0.7% |
| Virginia | $85 | $246 | 155 | 3,043 | +0.5% |
| Florida | $84 | $259 | 308 | 5,663 | +0.2% |
| Delaware | $84 | $322 | 39 | 895 | +0.1% |
| Michigan | $84 | $214 | 212 | 3,303 | -0.2% |
| Pennsylvania | $84 | $221 | 362 | 5,931 | -0.5% |
| Texas | $83 | $268 | 460 | 6,397 | -1.4% |
| South Dakota | $83 | $272 | 15 | 174 | -1.9% |
| Maine | $83 | $219 | 29 | 302 | -2.1% |
| Vermont | $82 | $320 | 8 | 41 | -2.4% |
| Utah | $82 | $277 | 36 | 482 | -2.4% |
| Missouri | $82 | $281 | 160 | 3,329 | -2.7% |
| New Mexico | $82 | $201 | 40 | 494 | -2.8% |
| West Virginia | $82 | $213 | 30 | 568 | -2.8% |
| Minnesota | $82 | $374 | 106 | 1,210 | -2.8% |
| Louisiana | $81 | $192 | 87 | 828 | -3.9% |
| North Dakota | $81 | $313 | 23 | 699 | -4.0% |
| Ohio | $81 | $328 | 305 | 6,886 | -4.3% |
| North Carolina | $80 | $274 | 260 | 5,413 | -4.8% |
| South Carolina | $80 | $368 | 126 | 2,043 | -5.0% |
| Oklahoma | $80 | $255 | 63 | 1,605 | -5.0% |
| Rhode Island | $80 | $220 | 21 | 265 | -5.2% |
| Alabama | $80 | $255 | 113 | 3,663 | -5.4% |
| Iowa | $80 | $383 | 53 | 843 | -5.6% |
| Kentucky | $79 | $248 | 48 | 490 | -5.9% |
| Indiana | $79 | $240 | 177 | 4,056 | -6.0% |
| Nebraska | $79 | $227 | 32 | 722 | -6.0% |
| Wisconsin | $79 | $593 | 134 | 2,032 | -6.1% |
| Arizona | $79 | $251 | 85 | 1,291 | -6.3% |
| Georgia | $79 | $308 | 178 | 3,229 | -6.4% |
| Kansas | $79 | $222 | 31 | 532 | -6.4% |
| Arkansas | $78 | $183 | 44 | 936 | -7.0% |
| Tennessee | $78 | $320 | 141 | 2,546 | -7.4% |
| Mississippi | $78 | $290 | 56 | 1,334 | -7.6% |
| Idaho | $77 | $173 | 17 | 232 | -8.6% |
⚠️ 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