Price Checker / CPT 90963

How much does Esrd Home Pt Serv P Mo <2yrs cost?

CPT 90963 · Based on 2026 Medicare rates and hospital-published pricing

A fair cash price for this is roughly $940–$1,900.

Fair price

$940–$1,900

What this should cost

With insurance

~$1,550

Typical out-of-pocket

Overcharged if over

$2,400

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About Esrd Home Pt Serv P Mo <2yrs

CPT code 90963 refers to esrd home pt serv p mo <2yrs (billing description: "Esrd home pt serv p mo <2yrs"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $626 in a facility (hospital or surgery center) and $626 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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