Price Checker / CPT 90945
How much does Dialysis One Evaluation cost?
CPT 90945 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 21x the fair price — among the most extreme markups. Dispute this.
Fair price
$120–$230
What this should cost
With insurance
~$90,400
Typical out-of-pocket
Overcharged if over
$290
Push back above this
The average hospital charge of $3,737 is $3,557 over the fair price (about 21x the fair rate).
What hospitals charge for Dialysis One Evaluation
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Kindred Hospital Houston Medical Center Houston, TX | $7,560 | — | 9698% |
| Methodist Hospitals of Dallas Celina, TX | — | — | 9316% |
| Methodist Hospitals of Dallas Dallas, TX | — | — | 9316% |
| Methodist Hospitals of Dallas Mansfield, TX | — | — | 9316% |
| Methodist Hospitals of Dallas Midlothian, TX | — | — | 9316% |
| Methodist Hospitals of Dallas Southlake, TX | — | — | 9316% |
| Cape Fear Valley Medical Center FAYETTEVILLE, NC | $2,277 | — | 6398% |
| Cape Fear Valley Rehabilitation Center , NC | $2,277 | — | 6398% |
| Highsmith-Rainey Specialty Hospital , NC | $2,277 | — | 6398% |
| "Brigham and Women's Hospital" BOSTON, MA | $4,325 | $3,244 | 5505% |
| Jersey City Medical Center JERSEY CITY, NJ | $3,585 | — | 4546% |
| Flower Mound Hospital Partners LLC Flower Mound, TX | — | — | 4495% |
| UPMC Jameson NEW CASTLE, PA | $3,520 | $2,816 | 4462% |
| Cornerstone Specialty Hospitals Round Rock Round Rock, TX | $3,446 | — | 4366% |
| UPMC Horizon-Greenville GREENVILLE, PA | $3,438 | $2,750 | 4356% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Dialysis One Evaluation
CPT code 90945 refers to dialysis one evaluation (billing description: "Dialysis one evaluation"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $77 in a facility (hospital or surgery center) and $77 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.