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
$227
Median
$178
High
$2.5k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
967 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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1,395 hospital rates
iThe hospitals that file a Humana 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 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 54 | $122 – $122 |
| 2 | The University of Texas Medical Branch Webster, TX other · both | 1 | $419 | $419 | — | — | 22 | $419 – $419 |
| 3 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $157 | $157 | — | — | 11 | $157 – $157 |
| 4 | Nor-Lea Hospital District Lovington, NM professional · fee schedule · outpatient | 1 | $107 | $107 | — | — | 4–40 | $107 – $107 |
| 5 | OU Health - University of Oklahoma Medical Center Edmond, OK professional · other · outpatient | 2 | $170 | $118 | $68 | 58% | 3–30 | $12 – $170 |
| 6 | Brigham and Women's Hospital Boston, MA other · both | 1 | $187 | $187 | — | — | 2–20 | $187 – $187 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $156 | $156 | — | — | 2–20 | $156 – $156 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 5 | $109 | $131 | $42 | 32% | 2–20 | $100 – $218 |
| 9 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 4 | $166 | $165 | $2 | 1% | 2–20 | $162 – $166 |
| 10 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $428 | $428 | $83 | 19% | 2–20 | $346 – $511 |
| 11 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $125 | $125 | — | — | 2–20 | $125 – $125 |
| 12 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 2 | $39 | $39 | $0 | 1% | 1–10 | $39 – $39 |
| 13 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $101 | $101 | — | — | 1–10 | $101 – $101 |
| 14 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 15 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 17 | Boone Memorial Hospital Madison, WV other · outpatient | 1 | $108 | $108 | — | — | 1–10 | $108 – $108 |
| 18 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | 1–10 | $37 – $37 |
| 19 | Eskenazi Health Indianapolis, IN facility · other · both | 1 | $187 | $187 | — | — | 1–10 | $187 – $187 |
| 20 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $187 | $187 | — | — | 1–10 | $187 – $187 |
| 21 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 1 | $128 | $128 | — | — | 1–10 | $128 – $128 |
| 22 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $157 | $157 | — | — | 1–10 | $157 – $157 |
| 23 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 4 | $134 | $128 | $16 | 12% | 1–10 | $98 – $140 |
| 24 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 4 | $138 | $121 | $35 | 29% | 1–10 | $51 – $142 |
| 25 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $161 | $161 | — | — | 1–10 | $161 – $161 |
← Payers reporting CPT 90791 · Snapshot 20261111T120946Z-9134e7f7