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
$338
Median
$272
High
$3.6k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1042 hospitals; the 90th percentile is 3.6× 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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1,562 hospital rates
iThe hospitals that file a Cigna 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 · fee schedule · both | 1 | $137 | $137 | — | — | 285 | $137 – $137 |
| 2 | Childrens Hospital Colorado Aurora, CO other · both | 1 | $1.3k | $1.3k | — | — | 236 | $1.3k – $1.3k |
| 3 | Childrens Hospital Colorado Aurora, CO other · outpatient | 1 | $1.3k | $1.3k | — | — | 236 | $1.3k – $1.3k |
| 4 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $521 | $555 | $239 | 43% | 236 | $257 – $922 |
| 5 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $143 | $143 | — | — | 140 | $143 – $143 |
| 6 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 1 | $80 | $80 | — | — | 104 | $80 – $80 |
| 7 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $393 | $393 | $16 | 4% | 97–106 | $377 – $410 |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $464 | $468 | $10 | 2% | 72 | $464 – $488 |
| 9 | NYU Langone Brooklyn, NY percent of total billed charges · bothfrom % of charges | 22 | $432 | $432 | — | — | 54–90 | $432 – $432 |
| 10 | UMass Memorial Health - Milford Regional Medical Center, Inc. Milford, MA percent of total billed charges · outpatientfrom % of charges | 2 | $166 | $166 | — | — | 50 | $166 – $166 |
| 11 | West Virginia University Hospitals, Inc. Morgantown, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $623 | $630 | $25 | 4% | 47–56 | $602 – $671 |
| 12 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $365 | $305 | $85 | 28% | 44–53 | $184 – $365 |
| 13 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $119 | $241 | $269 | 112% | 38–200 | $32 – $1.2k |
| 14 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT case rate · outpatient | 1 | $126 | $126 | — | — | 37 | $126 – $126 |
| 15 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 2 | $487 | $487 | — | — | 37 | $487 – $487 |
| 16 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT fee schedule · outpatient | 1 | $179 | $179 | — | — | 34 | $179 – $179 |
| 17 | City Hospital, Inc. Martinsburg, WV professional · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | 31–40 | $129 – $129 |
| 18 | Brattleboro Retreat Brattleboro, VT outpatient | 1 | $164 | $164 | — | — | 29 | $164 – $164 |
| 19 | Baystate Wing Hospital Palmer, MA fee schedule · both | 1 | $148 | $148 | — | — | 20 | $148 – $148 |
| 20 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 3 | $368 | $419 | $371 | 89% | 18–180 | $29 – $1.4k |
| 21 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $119 | $257 | $277 | 108% | 18–180 | $32 – $1.2k |
| 22 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $183 | $171 | $49 | 29% | 11 | $100 – $216 |
| 23 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT percent of total billed charges · outpatientfrom % of charges | 1 | $871 | $871 | — | — | 11 | $871 – $871 |
| 24 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $405 | $646 | $412 | 64% | 10–100 | $261 – $1.5k |
| 25 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $351 | $349 | $5 | 1% | 5–50 | $341 – $354 |
← Payers reporting CPT 90791 · Snapshot 20261111T120946Z-9134e7f7