Dialysis management and evaluation
What goes into a price?
Negotiated prices across insurers
Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.
Procedures included in this package
This list includes the services and fees bundled into the Dialysis management and evaluation Standard Service Package (SSP NE000). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS J1644 | Facility Fee | Intramuscular Injection of Anti-coagulant Heparin 1000 Units |
| HCPCS 90935 | Facility Fee | Physician/qhp-evaluated Hemodialysis Procedure |
| HCPCS 90935 | Professional Fee | Physician/qhp-evaluated Hemodialysis Procedure |
| HCPCS 85018 | Facility Fee | Hematological evaluation to measure hgb levels |