go back

Monthly Kidney Care Management For Home Dialysis (Youth)

Ohio 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?

$490

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $813 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 9 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$490$427 to $575
FacilityA hospital or hospital-owned outpatient department$813$479 to $912

How much rates vary

Facilitymedian $813 · 10th to 90th $479 to $912Professionalmedian $490 · 10th to 90th $389 to $708
$50$100$200$500$1Kfacility $813professional $490

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
Facility
Modifier
Global
Typical Low
$478.63
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$588.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$467.74
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$776.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$616.60
CareSource
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$1,047.13
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$616.60
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$870.96

Where Ohio 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.

Ohio· 37th of 51

$490

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.