Dialysis Centers in the United States

A dialysis facility that meets the federal ESRD Conditions for Coverage and can bill Medicare for in-center hemodialysis and, if approved, home dialysis training and support. Nearly every dialysis center in the US is Medicare-certified because Medicare covers most people with kidney failure.

CMS rates centers from 1 to 5 stars using outcome and care measures such as survival, hospital admissions and readmissions, transfusions, infections, fistula and catheter use, and dialysis adequacy. Stars are graded on a curve: about a quarter of centers get 4 or 5 stars, most get 3, and roughly one in ten gets 1 star. How to read dialysis star ratings.

Yes. People with end-stage renal disease qualify for Medicare at any age once they meet work-history rules. Part B covers outpatient dialysis at 80% after the deductible, and Medigap or Medicaid often covers the rest. Medicare coverage for dialysis explained.

The star rating uses a fixed CMS formula and puts centers into five buckets. Our 0–100 score ranks every center against all others on up to 21 outcome and patient-survey measures, so it separates centers that share the same star rating. Read the methodology.

Yes. Medicare lets you choose any certified center that has an opening and accepts you. You can also transfer between centers; your nephrologist and the new center coordinate the move. How to choose a dialysis center.