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
$5
Average
$181
Median
$145
High
$979
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
102 hospitals; the 90th percentile is 5.1× 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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137 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Beebe Medical Center Inc. Lewes, DE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 2–20 | $96 – $96 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV professional · other · outpatient | 1 | $113 | $113 | — | — | 2–20 | $113 – $113 |
| 3 | Wheeling Hospital, Inc. Wheeling, WV professional · other · outpatient | 1 | $113 | $113 | — | — | 2–20 | $113 – $113 |
| 4 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 5 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 6 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 7 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 8 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 10 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 11 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 12 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 13 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 14 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 15 | Bayhealth Hospital, Sussex Campus Milton, DE fee schedule · outpatient | 2 | $219 | $219 | $24 | 11% | — | $196 – $243 |
| 16 | Bayhealth Medical Center, Kent Campus Dover, DE fee schedule · outpatient | 2 | $222 | $222 | $21 | 9% | — | $202 – $243 |
| 17 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 18 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 19 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Carolinas Medical Center Davidson, NC fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 21 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 22 | Carolinas Medical Center Charlotte, NC fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 23 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 24 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 25 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
← Payers reporting CPT 90791 · Snapshot 20261111T120946Z-9134e7f7