CPT 90963 Other
Esrd home pt serv p mo <2yrs Cost
Body System: General
Medicare Facility Rate
$626
CMS PFS CY2026
Medicare Non-Facility Rate
$626
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
12.09
Work RVU
5.91
Facility PE RVU
0.75
Malpractice RVU
18.75
Total RVU
Frequently Asked Questions
How much does Esrd home pt serv p mo <2yrs cost?
The Medicare facility rate is $626. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Esrd home pt serv p mo <2yrs 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 $626.