CPT 90989

Peritoneal Dialysis

Current code4 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 90989 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	$46.27 – $50.203 plans	—	—
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	—	—
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$57.32 – $62.785 plans	—	—
Virginia Mason Medical CenterSeattle	—	—	—

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.