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Monthly Kidney Care Management For Home Dialysis (Youth)

Montana rates for HCPCS 90965

This covers a physician's monthly management fee for overseeing the care of a child or teenager on home dialysis. It reflects ongoing oversight — reviewing the dialysis plan and adjusting treatment — provided over the course of a full month. This is a management fee for physician oversight rather than the dialysis treatment itself.

Rates data updated July 2026.

How much does Monthly Kidney Care Management For Home Dialysis (Youth) cost?

$676

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $851 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 5 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$513$457 to $851
FacilityA hospital or hospital-owned outpatient department$851$692 to $871

How much rates vary

Facilitymedian $851 · 10th to 90th $550 to $955Professionalmedian $513 · 10th to 90th $363 to $1,202
$100$200$500$1K$2Kfacility $851professional $513

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
$363.08
Median
$457.09
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,479.11
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$851.14
Typical High
$912.01
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$851.14
Typical High
$912.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$1,122.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$776.25
Typical High
$1,318.26
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$724.44
Typical High
$870.96

Where Montana sits

The same service costs 2.6 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.

Montana· 7th of 51

$676

MN $1,122VT $427

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.