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Procedure price report · Other therapeutic procedures

Monthly dialysis care, age 12-19, four or more visits

CPT 90957the billing code this page is about

Covers one full month of outpatient kidney failure dialysis management for a patient aged 12 through 19 with four or more face-to-face provider visits that month.

Hospitals typically charge $1,090 cash for this outpatient procedure — the median across 144 hospitals that filed a usable cash price; the average of the middle 60% is $1,075. Most fall between $697 and $1,615 (20th–80th percentile).

Hospitals
144
States
31
Filings dated
Jun 2025 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 144 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$516$753$1,090$1,440$3,044

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($516 vs $3,044).

How the prices are spread

$473 – $581: 10 hospitals$473$581 – $714: 15 hospitals$714 – $878: 31 hospitals$714$878 – $1,079: 7 hospitals$1,079 – $1,326: 19 hospitals$1,079$1,326 – $1,630: 28 hospitals$1,630 – $2,004: 8 hospitals$1,630$2,004 – $2,463: 3 hospitals$2,463 – $3,027: 1 hospitals$2,463$3,027 – $3,721: 9 hospitals$3,027median $1,090price bands are equal on a log scale
Hospitals per price band (131 of 144 — the bands cover the 5th to 95th percentile)
FromToHospitals
$473$58110
$581$71415
$714$87831
$878$1,0797
$1,079$1,32619
$1,326$1,63028
$1,630$2,0048
$2,004$2,4633
$2,463$3,0271
$3,027$3,7219

By state

The median cash price in each state, against the national median of $1,090.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 6 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $753 across 15 hospitalsMI$753New York: median $775 across 10 hospitalsNY$775Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,440 across 15 hospitalsIA$1,440Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $494 across 10 hospitalsPA$494New Jersey: no hospital in the corpus filed a usable priceNJConnecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: no hospital in the corpus filed a usable priceCAUtah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,278 across 10 hospitalsOK$1,278Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: median $697 across 10 hospitalsFL$697
Cash price by state, most expensive first. National median $1,090. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Iowa IA15$1,440+32%$1,440 – $1,440
Oklahoma OK10$1,278+17%$1,278 – $1,278
New York NY10$775−29%$141 – $1,974
Michigan MI15$753−31%$753 – $753
Florida FL10$697−36%$697 – $4,020
Pennsylvania PA10$494−55%$408 – $559
Illinois IL9not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Wisconsin WI6not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,090.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care122$1,099$697 – $1,458
Children’s8fewer than 20 hospitals
Critical access14fewer than 20 hospitals
Ownership
For-profit11fewer than 20 hospitals
Government17fewer than 20 hospitals
Non-profit116$1,099$697 – $1,615
System affiliation
Part of a system125$1,055$697 – $1,440
Independent19fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$1,924
Median cash price$1,090
Cash as a share of list, median hospital58%

At the typical hospital, asking for the cash price cuts the list price by about 42%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

How complete is this

144 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 161 hospitals that filed this code at all gave us
Usable cash price — counted144
Cash price carrying a plausibility flag — shown on the compare tool, excluded here14
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded3
Hospitals that filed this code161

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other therapeutic procedures family.

Hospitals file this code under descriptions such as Esrd Related Svc Monthly 12-19 Yr Old 4/> Visits.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Monthly dialysis care, age 12-19, four or more visits (CPT 90957) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-90957-monthly-dialysis-care-age-12-19-four-or-more-visits