Price Checker / CPT 90935
CPT 90935 — Hemodialysis one evaluation
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$61
What Medicare pays in a hospital/ASC setting
$61
What Medicare pays in a physician's office
$3,634
Based on 256 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 90935
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Gateway Regional Medical Center Granite City, IL | $9,908 | — | 47941% |
| Capital Health at Deborah - Emergency Services , NJ | $21,261 | $879 | 34493% |
| Capital Health - East Trenton , NJ | $21,261 | $21,261 | 34493% |
| Capital Health - Hamilton , NJ | $21,261 | $879 | 34493% |
| Capital Health Medical Center - Hopewell , NJ | $21,261 | $879 | 34493% |
| Capital Health Regional Medical Center , NJ | $21,261 | $21,261 | 34493% |
| Emanuel Medical Center , CA | $10,026 | $7,520 | 16213% |
| Gateway Regional Medical Center , IL | $9,908 | $9,908 | 16021% |
| UPMC Hamot , PA | $9,163 | $7,330 | 14809% |
| Lake Surgical Hospital - Slidell , LA | $8,944 | $721 | 14453% |
| University of New Mexico Hospital , NM | $907 | — | 13745% |
| UNM Sandoval Regional Medical Center , NM | $907 | — | 13745% |
| UPMC Montefiore , PA | $8,467 | $6,774 | 13676% |
| UPMC Presbyterian , PA | $8,467 | $6,774 | 13676% |
| UPMC Shadyside , PA | $8,467 | $6,774 | 13676% |
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About CPT 90935
CPT code 90935 refers to “Hemodialysis one evaluation”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $61 in a facility (hospital or ambulatory surgery center) and $61in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.