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
$1
Average
$297
Median
$188
High
$2.5k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
154 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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215 hospital rates
iThe hospitals that file a Caresource 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 | West Virginia University Hospitals, Inc. Morgantown, WV professional · other · outpatient | 2 | $256 | $192 | $83 | 43% | 4–40 | $55 – $256 |
| 2 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 4 | $164 | $178 | $25 | 14% | 3–30 | $162 – $221 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $637 | $637 | — | — | 3–30 | $637 – $637 |
| 4 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $484 | $484 | — | — | 2–20 | $484 – $484 |
| 5 | Wheeling Hospital, Inc. Wheeling, WV professional · other · outpatient | 3 | $171 | $161 | $32 | 20% | 2–20 | $108 – $188 |
| 6 | Columbus Regional Hospital Columbus, IN fee schedule · both | 3 | $105 | $116 | $17 | 14% | 1–10 | $105 – $140 |
| 7 | Herbert J Thomas Memorial Hospital Association South Charleston, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $552 | $552 | — | — | 1–10 | $552 – $552 |
| 8 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $364 | $364 | — | — | 1–10 | $364 – $364 |
| 9 | Southern Regional Medical Center Riverdale, GA percent of total billed charges · outpatientfrom % of charges | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 12 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $162 | $162 | $3 | 2% | — | $158 – $165 |
| 13 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 3 | $148 | $147 | $16 | 11% | — | $127 – $167 |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 15 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $256 | $256 | $83 | 32% | — | $173 – $339 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 20 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 23 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 24 | Brandon HMA LLC Brandon, MS facility · other · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 25 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $171 | $171 | — | — | — | $171 – $171 |
← Payers reporting CPT 90791 · Snapshot 20261111T120946Z-9134e7f7