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
$228
Median
$167
High
$2.5k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
131 hospitals; the 90th percentile is 2.3× 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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157 hospital rates
iThe hospitals that file a Medicare 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 | Brigham and Women's Hospital Boston, MA other · both | 1 | $485 | $485 | — | — | 477 | $485 – $485 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $100 | $100 | — | — | 134 | $100 – $100 |
| 3 | McLean Hospital Belmont, MA other · both | 1 | $191 | $191 | — | — | 72 | $191 – $191 |
| 4 | Massachusetts General Hospital Boston, MA other · both | 1 | $191 | $191 | — | — | 33 | $191 – $191 |
| 5 | St Joseph Mercy Chelsea Chelsea, MI professional · fee schedule · both | 1 | $169 | $169 | — | — | 30 | $169 – $169 |
| 6 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $364 | $364 | — | — | 26 | $364 – $364 |
| 7 | Salem Hospital Salem, MA other · both | 1 | $485 | $485 | — | — | 24 | $485 – $485 |
| 8 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 1 | $166 | $166 | — | — | 21 | $166 – $166 |
| 9 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $307 | $307 | — | — | 15 | $307 – $307 |
| 10 | Tufts Medical Center BOSTON, MA other · both | 1 | $375 | $375 | $71 | 19% | 12 | $304 – $446 |
| 11 | Spaulding Rehabilitation Hospital Boston Charlestown, MA other · outpatient | 1 | $191 | $191 | — | — | 11 | $191 – $191 |
| 12 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $409 | $409 | — | — | 3–30 | $409 – $409 |
| 13 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $453 | $453 | — | — | 3–30 | $453 – $453 |
| 14 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 1 | $148 | $134 | $49 | 36% | 3–30 | $63 – $179 |
| 15 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $170 | $170 | $86 | 50% | 2–20 | $84 – $256 |
| 16 | Brattleboro Retreat Brattleboro, VT outpatient | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 17 | Eskenazi Health Indianapolis, IN facility · other · both | 1 | $187 | $187 | — | — | 1–10 | $187 – $187 |
| 18 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 1 | $187 | $187 | — | — | 1–10 | $187 – $187 |
| 19 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $253 | $253 | — | — | 1–10 | $253 – $253 |
| 20 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 21 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $364 | $364 | — | — | 1–10 | $364 – $364 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 23 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $138 | $138 | — | — | 1–10 | $138 – $138 |
| 24 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 1 | $169 | $169 | — | — | 1–10 | $169 – $169 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
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