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
$4
Average
$281
Median
$181
High
$2.2k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
216 hospitals; the 90th percentile is 4.8× 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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329 hospital rates
iThe hospitals that file a Optum 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 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 1 | $369 | $369 | — | — | 123 | $369 – $369 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 2 | $112 | $112 | $12 | 11% | 48 | $100 – $125 |
| 3 | Childrens Hospital Colorado Aurora, CO other · both | 1 | $449 | $449 | — | — | 21 | $449 – $449 |
| 4 | Childrens Hospital Colorado Aurora, CO other · outpatient | 1 | $449 | $449 | — | — | 21 | $449 – $449 |
| 5 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $490 | $490 | — | — | 19 | $490 – $490 |
| 6 | Tufts Medical Center BOSTON, MA other · both | 2 | $375 | $375 | $71 | 19% | 4–40 | $304 – $446 |
| 7 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · bothfrom % of charges | 2 | $360 | $349 | $15 | 4% | 1–10 | $327 – $360 |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $449 | $449 | $5 | 1% | 1–10 | $444 – $454 |
| 9 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 1 | $156 | $156 | $19 | 12% | 1–10 | $137 – $174 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $523 | $523 | — | — | 1–10 | $523 – $523 |
| 11 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $490 | $490 | — | — | 1–10 | $490 – $490 |
| 12 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $499 | $499 | — | — | 1–10 | $499 – $499 |
| 13 | Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient | 2 | $128 | $143 | $20 | 14% | 1–10 | $128 – $171 |
| 14 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $490 | $490 | — | — | 1–10 | $490 – $490 |
| 15 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $177 | $177 | — | — | 1–10 | $177 – $177 |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $105 | $105 | $32 | 30% | — | $73 – $137 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $895 | $895 | — | — | — | $895 – $895 |
| 22 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 23 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 24 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 25 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
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