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
$94
Average
$286
Median
$290
High
$684
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
73 hospitals; the 90th percentile is 2.8× 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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130 hospital rates
iThe hospitals that file a Healthpartners 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 | Westfields Hospital New Richmond, WI facility · case rate · both | 1 | $399 | $399 | — | — | 55 | $399 – $399 |
| 2 | Hudson Hospital Hudson, WI facility · case rate · both | 1 | $297 | $297 | — | — | 11 | $297 – $297 |
| 3 | Regions Hospital St. Paul, MN facility · case rate · both | 1 | $291 | $291 | — | — | 3–30 | $291 – $291 |
| 4 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $226 | $245 | $105 | 43% | 1–10 | $136 – $407 |
| 5 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $226 | $245 | $105 | 43% | 1–10 | $136 – $407 |
| 6 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $226 | $245 | $105 | 43% | 1–10 | $136 – $407 |
| 7 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $226 | $245 | $105 | 43% | 1–10 | $136 – $407 |
| 8 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $456 | $343 | $169 | 49% | 1–10 | $105 – $479 |
| 9 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $444 | $448 | $9 | 2% | 1–10 | $439 – $464 |
| 10 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $110 | $245 | $192 | 78% | 1–10 | $110 – $516 |
| 11 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $310 | $310 | $201 | 65% | 1–10 | $110 – $511 |
| 12 | Methodist Hospital St. Louis Park, MN facility · case rate · both | 1 | $295 | $295 | — | — | 1–10 | $295 – $295 |
| 13 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 14 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 15 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $540 | $540 | — | — | — | $540 – $540 |
| 16 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 2 | $122 | $122 | $56 | 46% | — | $66 – $178 |
| 17 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 18 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · both | 1 | $523 | $523 | — | — | — | $523 – $523 |
| 19 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both | 1 | $540 | $540 | — | — | — | $540 – $540 |
| 20 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · inpatientfrom % of charges | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 21 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 3 | $379 | $354 | $36 | 10% | — | $303 – $379 |
| 22 | Aurora Psychiatric Hospital Wauwatosa, WI percent of total billed charges · inpatientfrom % of charges | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 23 | Aurora Psychiatric Hospital Wauwatosa, WI percent of total billed charges · outpatientfrom % of charges | 3 | $379 | $354 | $36 | 10% | — | $303 – $379 |
| 24 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $379 | $379 | — | — | — | $379 – $379 |
| 25 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $379 | $354 | $36 | 10% | — | $303 – $379 |
← Payers reporting CPT 90791 · Snapshot 20261111T120946Z-9134e7f7