A dialysis session price covers the treatment itself, all equipment and supplies, medications administered during treatment, routine laboratory tests, and direct nursing care. Under the U.S. Centers for Medicare & Medicaid Services (CMS) 2025 End-Stage Renal Disease Prospective Payment System, the base bundled rate is $273.82 per session, though actual costs vary by country and facility. In Mexico, dialysis sessions range from $150–$300 per treatment at accredited facilities.
The bundled price includes dialysis machines, water treatment systems, dialyzers (filters), tubing, needles, dialysate fluid, and all consumable supplies like syringes and sterile drapes. Direct professional services from registered nurses, technicians, social workers, and dietitians are covered, along with continuous monitoring of heart rate, blood pressure, and vascular access sites during each 3–4 hour session. Equipment like recliners, scales, and blood pressure cuffs are also included in facility overhead costs.
Most dialysis-related medications administered during treatment fall under the bundled payment. According to CMS 2025 regulations, this includes erythropoiesis-stimulating agents (ESAs) for anemia, intravenous iron, vitamin D analogs, heparin to prevent clotting, and as of January 2025, oral phosphate binders. Routine laboratory tests—chemistry panels, hematology, and monthly monitoring labs—are bundled into the session cost. Home dialysis training (up to 25 sessions for hemodialysis, 15 sessions for peritoneal dialysis) and vascular access maintenance during regular treatment are also included, though major surgical procedures to create access points are billed separately.
Leading facilities maintain CSG Accreditation and Joint Commission International (JCI) certification. Confirm with the facility which specific medications and lab tests are covered in their quoted session price, as non-dialysis prescriptions for conditions like hypertension typically require separate payment.