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
Intake Evaluation Php
Low
$124
Average
$284
Median
$263
High
$758
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
69 payers; the 90th percentile is 2.4× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Premera professional · fee schedule · both · +14 other terms | 13 | $202 | $224 | $62 | 27% | 277–286 | $160 – $359 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +36 other terms | 237 | $216 | $307 | $202 | 66% | 62–89 | $1 – $1.2k |
| 3 | Cigna fee schedule · outpatient · +35 other terms | 182 | $184 | $249 | $177 | 71% | 36–54 | $110 – $1.4k |
| 4 | Ucare professional · fee schedule · outpatient · +18 other terms | 24 | $148 | $149 | $33 | 22% | 25–79 | $51 – $240 |
| 5 | Aetna fee schedule · outpatient · +43 other terms | 403 | $184 | $263 | $451 | 172% | 22–220 | $1 – $8.4k |
| 6 | Carefirst professional · fee schedule · both · +14 other terms | 13 | $176 | $174 | $60 | 34% | 1–10 | $98 – $359 |
| 7 | Bcbs In other · both | 1 | $483 | $483 | — | — | 1–10 | $483 – $483 |
| 8 | UnitedHealthcare fee schedule · outpatient · +43 other terms | 367 | $177 | $386 | $1.2k | 312% | — | $1 – $23.0k |
| 9 | Humana fee schedule · outpatient · +31 other terms | 327 | $172 | $190 | $73 | 39% | — | $1 – $617 |
| 10 | WellCare fee schedule · outpatient · +24 other terms | 153 | $186 | $187 | $37 | 20% | — | $29 – $377 |
| 11 | Molina fee schedule · outpatient · +31 other terms | 141 | $192 | $200 | $91 | 45% | — | $1 – $564 |
| 12 | Anthem fee schedule · outpatient · +36 other terms | 105 | $180 | $215 | $176 | 82% | — | $37 – $1.8k |
| 13 | Ambetter facility · fee schedule · outpatient · +20 other terms | 78 | $317 | $343 | $600 | 175% | — | $81 – $7.1k |
| 14 | Kaiser fee schedule · outpatient · +27 other terms | 78 | $186 | $243 | $150 | 62% | — | $90 – $1.1k |
| 15 | Tricare fee schedule · outpatient · +21 other terms | 59 | $172 | $169 | $36 | 21% | — | $72 – $227 |
| 16 | Devoted fee schedule · outpatient · +18 other terms | 55 | $165 | $164 | $14 | 9% | — | $141 – $195 |
| 17 | MultiPlan fee schedule · outpatient · +20 other terms | 49 | $256 | $279 | $104 | 37% | — | $94 – $683 |
| 18 | Optum fee schedule · outpatient · +25 other terms | 46 | $148 | $182 | $96 | 53% | — | $140 – $655 |
| 19 | Oscar facility · fee schedule · outpatient · +21 other terms | 37 | $259 | $250 | $45 | 18% | — | $82 – $334 |
| 20 | Regence professional · fee schedule · outpatient · +22 other terms | 36 | $160 | $280 | $133 | 48% | — | $117 – $542 |
| 21 | Clover fee schedule · outpatient · +12 other terms | 35 | $179 | $186 | $10 | 5% | — | $160 – $214 |
| 22 | Medicare facility · fee schedule · outpatient · +20 other terms | 34 | $183 | $214 | $384 | 179% | — | $71 – $4.8k |
| 23 | Highmark facility · fee schedule · outpatient · +25 other terms | 33 | $260 | $384 | $406 | 106% | — | $9 – $1.9k |
| 24 | Caresource fee schedule · outpatient · +19 other terms | 31 | $180 | $174 | $42 | 24% | — | $1 – $340 |
| 25 | Medica fee schedule · outpatient · +21 other terms | 31 | $286 | $415 | $187 | 45% | — | $51 – $671 |
← Hospitals reporting CPT 90791 · Snapshot 20261111T120946Z-9134e7f7