CPT 90962 Other
Esrd serv 1 visit p mo 20+ Cost
Body System: General
Medicare Facility Rate
$215
CMS PFS CY2026
Medicare Non-Facility Rate
$215
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
3.57
Work RVU
2.65
Facility PE RVU
0.22
Malpractice RVU
6.44
Total RVU
Frequently Asked Questions
How much does Esrd serv 1 visit p mo 20+ cost?
The Medicare facility rate is $215. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Esrd serv 1 visit p mo 20+ 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 $215.