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Monthly Kidney Care for a Dialysis Patient

Pennsylvania rates for HCPCS 90958

A month of oversight by the kidney doctor for someone with end-stage kidney disease who is on dialysis. It covers reviewing how dialysis is going, checking laboratory results, adjusting medicines, and managing diet, fluid, blood pressure, anemia, and bone health — not the dialysis treatment itself.

Rates data updated October 2026.

How much does Monthly Kidney Care for a Dialysis Patient cost?

$513

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $490 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$513$468 to $724
FacilityA hospital or hospital-owned outpatient department$490$490 to $490

How much rates vary

Facilitymedian $490 · 10th to 90th $468 to $4,266Professionalmedian $513 · 10th to 90th $427 to $851
$500$1K$2K$5K$10K$20K$50Kfacility $490professional $513

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$537.03
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$489.78
Typical High
$537.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$229.09
Median
$245.47
Typical High
$269.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$97.72
Typical High
$107.15
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$69.18
Median
$72.44
Typical High
$79.43
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$46.77
Median
$48.98
Typical High
$53.70
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$707.95
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$467.74
Typical High
$912.01
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$776.25
Typical High
$1,096.48
Geisinger
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$537.03
Typical High
$891.25
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$1,862.09
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$489.78
Typical High
$537.03
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$234.42
Median
$245.47
Typical High
$269.15
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$97.72
Typical High
$107.15
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$69.18
Median
$72.44
Typical High
$79.43
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$46.77
Median
$48.98
Typical High
$53.70
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$338.84
Typical High
$891.25
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$489.78
Typical High
$489.78
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$467.74
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$416.87
Typical High
$707.95

Where Pennsylvania sits

The same service costs 3.2 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 35th of 51

$513

AK $1,202NY $380

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.