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Monthly Kidney Failure Care For Ages 12 To 19

Pennsylvania rates for HCPCS 90957

Monthly care for a patient aged 12 to 19 with kidney failure. It includes four or more in-person visits during the month, monitoring of nutrition and growth, and counseling for parents. One month of care is covered by the charge.

Rates data updated July 2026.

How much does Monthly Kidney Failure Care For Ages 12 To 19 cost?

$741

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $759 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 11 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$676 to $813
FacilityA hospital or hospital-owned outpatient department$759$759 to $1,349

How much rates vary

Facilitymedian $759 · 10th to 90th $741 to $1,778Professionalmedian $741 · 10th to 90th $589 to $1,230
$500.0$1.0K$2.0K$5.0Kfacility $759professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,445.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,698.24
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,348.96
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,288.25
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$501.19
Typical High
$1,380.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,230.27

Where Pennsylvania sits

The same service costs 2.8 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $741 · 40th of 51
MN $1,660VT $603

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.