Specialty Physician Consultation – 1 hour examination and assessment with related review and treatment recommendations. Renal Disease is any medical problem of the kidney where wastes build to high levels in the blood; complications such as high blood pressure, anemia (low blood count), weak bones, and nerve damage can occur and increase the risk of heart and blood vessel disease. Chronic kidney disease may be caused by diabetes, high blood pressure and other disorders. When kidney disease progresses, it may eventually lead to kidney failure, requiring dialysis or kidney transplant. Early detection and treatment can often help keep CKD from getting worse. The total cost includes a one hour consultation with a specialist Not included are diagnostic studies, consultations with additional specialists and cost of complication management; travel, food and lodging.