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
$61
Average
$280
Median
$185
High
$1.5k
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
75 hospitals; the 90th percentile is 6.1× 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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104 hospital rates
iThe hospitals that file a Magellan 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL other · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 3 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 4 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 5 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 6 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 8 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 11 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $286 | $286 | — | — | — | $286 – $286 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 15 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 2 | $143 | $143 | $39 | 27% | — | $104 – $181 |
| 16 | Holy Cross Germantown Hospital Germantown, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 17 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 18 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 19 | Holyoke Medical Center Holyoke, MA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $180 | $187 | $13 | 7% | — | $180 – $210 |
| 20 | Holyoke Medical Center Holyoke, MA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $180 | $187 | $13 | 7% | — | $180 – $210 |
| 21 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 22 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 23 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · other · outpatient | 2 | $119 | $119 | $4 | 4% | — | $115 – $124 |
| 24 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · inpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 25 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
← Payers reporting CPT 90791 · Snapshot 20261111T120946Z-9134e7f7