Cost analysis for CPT 90966 — Home dialysis services per month (20 years or older)
Average Medicare Payment
$224.44
2023 data
Total Payments (2023)
$42.9M
Services (2023)
190.7K
Price Change (2014–2023)
+24.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $180.64 | $39.6M | 219.5K | — |
| 2015 | $179.70 | $41.6M | 231.8K | -0.5% |
| 2016 | $179.76 | $43.5M | 242.0K | +0.0% |
| 2017 | $180.34 | $44.2M | 244.8K | +0.3% |
| 2018 | $180.65 | $46.3M | 256.0K | +0.2% |
| 2019 | $182.61 | $49.5M | 270.9K | +1.1% |
| 2020 | $187.23 | $54.3M | 290.1K | +2.5% |
| 2021 | $233.92 | $56.6M | 241.9K | +24.9% |
| 2022 | $231.19 | $48.4M | 209.2K | -1.2% |
| 2023 | $224.44 | $42.9M | 190.7K | -2.9% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $306.04 vs AR at $207.91.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $306.04 | $253.4K | 828 | 6 |
| DC | $252.10 | $202.7K | 804 | 9 |
| MD | $244.97 | $1.2M | 4.8K | 50 |
| NY | $242.78 | $1.4M | 5.9K | 57 |
| NJ | $242.24 | $457.1K | 1.9K | 26 |
| CA | $241.27 | $4.3M | 17.9K | 157 |
| CT | $239.16 | $238.2K | 996 | 16 |
| NH | $237.06 | $194.4K | 820 | 9 |
| MA | $234.51 | $419.1K | 1.8K | 22 |
| CO | $232.89 | $424.8K | 1.8K | 20 |
| DE | $230.63 | $245.4K | 1.1K | 10 |
| IL | $230.50 | $2.8M | 12.0K | 141 |
| PA | $230.06 | $1.4M | 6.2K | 82 |
| FL | $228.57 | $2.7M | 11.7K | 115 |
| OR | $228.14 | $457.9K | 2.0K | 29 |
| HI | $227.98 | $294.8K | 1.3K | 13 |
| WA | $226.95 | $906.4K | 4.0K | 40 |
| NM | $226.78 | $547.9K | 2.4K | 22 |
| MT | $226.29 | $219.7K | 971 | 11 |
| MI | $225.78 | $1.5M | 6.8K | 74 |
| NV | $223.04 | $488.9K | 2.2K | 22 |
| VA | $222.98 | $1.5M | 6.7K | 83 |
| RI | $222.07 | $38.4K | 173 | 3 |
| ND | $221.56 | $167.9K | 758 | 8 |
| MN | $221.42 | $352.5K | 1.6K | 19 |
| OH | $220.86 | $1.2M | 5.5K | 71 |
| IN | $220.59 | $956.3K | 4.3K | 49 |
| UT | $220.43 | $301.3K | 1.4K | 13 |
| LA | $220.41 | $677.1K | 3.1K | 34 |
| NC | $220.12 | $2.0M | 9.2K | 108 |
| SD | $219.77 | $132.1K | 601 | 6 |
| ME | $219.74 | $157.8K | 718 | 11 |
| KY | $219.57 | $435.4K | 2.0K | 20 |
| TX | $217.95 | $3.2M | 14.8K | 156 |
| GA | $217.83 | $1.6M | 7.2K | 83 |
| ID | $217.77 | $382.8K | 1.8K | 18 |
| WV | $216.69 | $169.0K | 780 | 10 |
| KS | $215.69 | $499.3K | 2.3K | 22 |
| SC | $215.51 | $1.1M | 5.0K | 62 |
| NE | $214.12 | $282.4K | 1.3K | 13 |
| WI | $214.08 | $488.3K | 2.3K | 26 |
| MO | $213.67 | $1.1M | 5.3K | 58 |
| AZ | $213.57 | $878.4K | 4.1K | 29 |
| IA | $213.22 | $490.2K | 2.3K | 25 |
| TN | $212.23 | $1.2M | 5.6K | 57 |
| OK | $211.69 | $924.2K | 4.4K | 35 |
| AL | $211.66 | $640.3K | 3.0K | 29 |
| MS | $211.33 | $780.2K | 3.7K | 30 |
| AR | $207.91 | $530.2K | 2.5K | 28 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Harold Giles | Nephrology | AL | $114.1K | 545 | $209.28 |
| Ramon Gonzalez | Nurse Practitioner | FL | $107.7K | 527 | $204.31 |
| Abdul Khan | Nephrology | TX | $104.1K | 483 | $215.61 |
| Ramsey Nassar | Nephrology | KY | $97.6K | 444 | $219.74 |
| Kevin Chen | Nephrology | IL | $97.2K | 441 | $220.44 |
| Raffi Minasian | Nephrology | CA | $96.7K | 414 | $233.63 |
| Michael Roppolo | Nephrology | LA | $87.5K | 379 | $230.91 |
| Jim-Jer Hwu | Nephrology | CA | $82.7K | 335 | $247.00 |
| Ezra Israel | Nephrology | NY | $82.2K | 303 | $271.15 |
| Allen Kaufman | Nephrology | NY | $80.1K | 306 | $261.73 |
| Anand Khurana | Nephrology | OK | $79.6K | 370 | $215.06 |
| Bindu Jayavelu | Nephrology | AZ | $78.9K | 361 | $218.52 |
| James Sullivan | Nephrology | NV | $76.2K | 327 | $232.95 |
| Piangwarin Phaosawasdi | Nephrology | CA | $75.1K | 301 | $249.55 |
| Scott Bralow | Internal Medicine | PA | $75.0K | 309 | $242.78 |
| Lauren Mcdonald | Nephrology | TX | $72.6K | 308 | $235.70 |
| Allison White | Nephrology | MS | $72.4K | 325 | $222.72 |
| Melvin Seek | Nephrology | FL | $71.4K | 300 | $238.16 |
| Harold Hubert | Nephrology | GA | $71.4K | 318 | $224.38 |
| Muhammad Kamran | Nephrology | IL | $70.5K | 326 | $216.18 |
Based on the data, CPT 90966 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 24.2% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.