- Dialysis is covered by health insurance. For patients covered by health insurance, out-of-pocket costs typically include the deductible, and coinsurance for the treatment cost. For example, with Medicare, a patient, once the deductible of about $150 is met, typically would pay coinsurance of 20%; but many Medicare patients also have secondary insurance to cover all or part of that cost. A study published in Health Affairs showed that the average U.S. patient pays $114 for dialysis-related drug costs and about $10 in dialysis costs per month.
- For patients not covered by health insurance, a single hemodialysis treatment typically costs up to $500 or more -- or, about $72,000 or more per year for the typical three treatments per week. Injectable medications and vitamins can add hundreds of dollars to the cost, depending on what is prescribed. For example, DaVita, which has many dialysis centers across the United States, charges about $480 for a dialysis treatment, not including medications. A dialysis center in Ohio quotes a rate of more than $1,400 but will negotiate with self-pay patients.
- An emergency, unscheduled dialysis treatment at a hospital can cost much more; for example, Baptist Memorial Health Care in Memphis charges about $9,900 for a single treatment. For peritoneal dialysis, the main costs consist of medical supplies to perform the procedure at home -- so it is slightly less expensive than hemodialysis. According to the U.S. Renal Data System, one year of hemodialysis can total $72,000; a year of peritoneal dialysis can cost about $53,000.
- Most patients with end-stage renal disease are eligible for Medicare; however, there typically is a waiting period of up to four months before coverage starts (or, if the patient is insured through an employer group health plan, that plan will be the primary payer for 30 months). Medicare.gov has information on Medicare and end-stage renal disease. Medicare Part B, which is necessary to get dialysis benefits, costs more than $100 per month.