Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON
Low
$12
Average
$155
Median
$87
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 9.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +23 other terms | 303 | $40 | $55 | $47 | 86% | — | $1 – $482 |
| 2 | UnitedHealthcare fee schedule · outpatient · +27 other terms | 274 | $38 | $158 | $529 | 334% | — | $1 – $5.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +21 other terms | 234 | $86 | $227 | $757 | 334% | — | $1 – $14.4k |
| 4 | Humana fee schedule · outpatient · +23 other terms | 221 | $37 | $48 | $31 | 65% | — | $1 – $200 |
| 5 | Cigna fee schedule · outpatient · +19 other terms | 125 | $38 | $54 | $34 | 63% | — | $35 – $193 |
| 6 | WellCare fee schedule · outpatient · +14 other terms | 106 | $38 | $47 | $18 | 38% | — | $19 – $92 |
| 7 | Molina fee schedule · outpatient · +18 other terms | 98 | $43 | $57 | $32 | 57% | — | $1 – $237 |
| 8 | Anthem fee schedule · outpatient · +21 other terms | 90 | $45 | $94 | $434 | 460% | — | $18 – $6.5k |
| 9 | Devoted fee schedule · outpatient · +7 other terms | 61 | $37 | $38 | $2 | 5% | — | $35 – $42 |
| 10 | Kaiser fee schedule · outpatient · +10 other terms | 59 | $54 | $72 | $46 | 64% | — | $37 – $275 |
| 11 | Ambetter facility · fee schedule · outpatient · +12 other terms | 48 | $67 | $70 | $13 | 19% | — | $40 – $90 |
| 12 | Optum fee schedule · outpatient · +15 other terms | 33 | $37 | $51 | $27 | 52% | — | $34 – $138 |
| 13 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $141 | $148 | $62 | 42% | — | $35 – $312 |
| 14 | Oscar facility · fee schedule · outpatient · +15 other terms | 27 | $55 | $56 | $6 | 11% | — | $43 – $70 |
| 15 | Clover fee schedule · outpatient · +6 other terms | 26 | $41 | $40 | $3 | 7% | — | $34 – $44 |
| 16 | Caresource facility · case rate · outpatient · +13 other terms | 24 | $25 | $37 | $19 | 51% | — | $14 – $76 |
| 17 | Medicare fee schedule · outpatient · +6 other terms | 24 | $37 | $38 | $1 | 3% | — | $34 – $42 |
| 18 | MultiPlan fee schedule · outpatient · +13 other terms | 17 | $60 | $188 | $693 | 369% | — | $35 – $4.0k |
| 19 | Highmark fee schedule · outpatient · +9 other terms | 16 | $51 | $54 | $31 | 57% | — | $17 – $255 |
| 20 | Regence facility · case rate · outpatient · +9 other terms | 16 | $39 | $46 | $22 | 47% | — | $35 – $117 |
| 21 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 15 | $47 | $47 | $9 | 20% | — | $36 – $62 |
| 22 | Medica fee schedule · outpatient · +16 other terms | 15 | $122 | $275 | $391 | 143% | — | $38 – $1.4k |
| 23 | Medical Mutual facility · fee schedule · outpatient · +8 other terms | 15 | $35 | $44 | $28 | 63% | — | $19 – $140 |
| 24 | Bcbs Mn fee schedule · outpatient · +7 other terms | 13 | $39 | $49 | $28 | 57% | — | $17 – $133 |
| 25 | Superior Healthplan facility · fee schedule · outpatient · +2 other terms | 13 | $39 | $39 | $0 | 0% | — | $39 – $39 |
← Hospitals reporting CPT 0576T · Snapshot 20261113T090226Z-3ce6c0b8