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
$4
Average
$298
Median
$231
High
$5.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1335 hospitals; the 90th percentile is 3.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,376 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $137 | $137 | — | — | 285 | $137 – $137 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $396 | $388 | $79 | 20% | 260–269 | $288 – $480 |
| 3 | Childrens Hospital Colorado Aurora, CO other · both | 1 | $538 | $538 | — | — | 165 | $538 – $538 |
| 4 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $579 | $811 | $518 | 64% | 165 | $285 – $1.9k |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $426 | $424 | $6 | 1% | 150 | $414 – $430 |
| 6 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $318 | $318 | — | — | 142 | $318 – $318 |
| 7 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $143 | $143 | — | — | 140 | $143 – $143 |
| 8 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $266 | $266 | — | — | 120 | $266 – $266 |
| 9 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 3 | $445 | $405 | $145 | 36% | 114–132 | $211 – $559 |
| 10 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $642 | $642 | — | — | 110 | $642 – $642 |
| 11 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $410 | $415 | $11 | 3% | 106–124 | $410 – $437 |
| 12 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $102 | $131 | $69 | 52% | 80 | $74 – $265 |
| 13 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $96 | $124 | $65 | 52% | 80 | $70 – $251 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 4 | $176 | $168 | $58 | 34% | 78 | $100 – $226 |
| 15 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $132 | $132 | $28 | 21% | 78–96 | $104 – $160 |
| 16 | Samaritan Medical Center Watertown, NY professional · other · both | 2 | $132 | $132 | $28 | 21% | 77–86 | $104 – $160 |
| 17 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $74 | $74 | — | — | 68 | $74 – $74 |
| 18 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $464 | $464 | — | — | 63–72 | $464 – $464 |
| 19 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 6 | $119 | $192 | $192 | 100% | 59–383 | $21 – $872 |
| 20 | McLean Hospital Belmont, MA percent of total billed charges · outpatientfrom % of charges | 2 | $251 | $251 | $53 | 21% | 54–72 | $199 – $304 |
| 21 | West Virginia University Hospitals, Inc. Morgantown, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $666 | $666 | — | — | 54–63 | $666 – $666 |
| 22 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ per diem · outpatient | 3 | $436 | $351 | $192 | 55% | 53–62 | $85 – $532 |
| 23 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ per diem · outpatient | 3 | $436 | $351 | $192 | 55% | 53–62 | $85 – $532 |
| 24 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $127 | $127 | — | — | 50 | $127 – $127 |
| 25 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $623 | $588 | $61 | 10% | 50 | $483 – $623 |
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