Price Checker / CPT 90951

How much does Esrd Serv 4 Visits P Mo <2yr cost?

CPT 90951 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 32x the fair price — among the most extreme markups. Dispute this.

Fair price

$5,500–$6,500

What this should cost

With insurance

~$2,050

Typical out-of-pocket

Overcharged if over

$8,150

Push back above this

The average hospital charge of $193,396 is $187,396 over the fair price (about 32x the fair rate).

What hospitals charge for Esrd Serv 4 Visits P Mo <2yr

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Denver Health Medical Center

Denver, CO

16238%

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About Esrd Serv 4 Visits P Mo <2yr

CPT code 90951 refers to esrd serv 4 visits p mo <2yr (billing description: "Esrd serv 4 visits p mo <2yr"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,184 in a facility (hospital or surgery center) and $1,184 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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