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Monthly Kidney Disease Management, Adult Patient

Oregon rates for HCPCS 90961

This covers a month of ongoing outpatient management for an adult with end-stage kidney disease, including a defined number of in-person check-ins with the treating clinician during that month along with related care coordination. It reflects one of several tiers of this monthly service that differ by how many in-person visits occurred.

Rates data updated July 2026.

How much does Monthly Kidney Disease Management, Adult Patient cost?

$339

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $447 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 8 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$339$275 to $513
FacilityA hospital or hospital-owned outpatient department$447$331 to $562

How much rates vary

Facilitymedian $447 · 10th to 90th $282 to $575Professionalmedian $339 · 10th to 90th $79 to $759
$100$200$500$1Kfacility $447professional $339

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$309.03
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$776.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$776.25
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$549.54
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$758.58

Where Oregon sits

The same service costs 2.1 times more in Minnesota than in Vermont. 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.

Oregon· 7th of 51

$339

MN $501VT $240

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.