CPT 90959 Other
Esrd serv 1 vst p mo 12-19 Cost
Body System: General
Medicare Facility Rate
$339
CMS PFS CY2026
Medicare Non-Facility Rate
$339
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.19
Work RVU
3.57
Facility PE RVU
0.39
Malpractice RVU
10.15
Total RVU
Frequently Asked Questions
How much does Esrd serv 1 vst p mo 12-19 cost?
The Medicare facility rate is $339. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Esrd serv 1 vst p mo 12-19 cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $339.