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
$0
Average
$317
Median
$226
High
$16.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1289 hospitals; the 90th percentile is 3.6× 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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2,374 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Childrens Hospital Colorado Aurora, CO other · both | 1 | $449 | $449 | — | — | 295 | $449 – $449 |
| 2 | Childrens Hospital Colorado Aurora, CO other · outpatient | 1 | $449 | $449 | — | — | 295 | $449 – $449 |
| 3 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $500 | $519 | $245 | 47% | 295 | $221 – $856 |
| 4 | Baystate Franklin Medical Center Greenfield, MA facility · other · both | 1 | $137 | $137 | — | — | 285 | $137 – $137 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 5 | $150 | $184 | $76 | 41% | 190 | $89 – $287 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $380 | $380 | $291 | 77% | 181 | $89 – $671 |
| 7 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $669 | $669 | — | — | 171 | $669 – $669 |
| 8 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 4 | $374 | $276 | $133 | 48% | 166–184 | $114 – $390 |
| 9 | Baystate Medical Center Springfield, MA other · both | 1 | $143 | $143 | — | — | 140 | $143 – $143 |
| 10 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 140 | $400 – $400 |
| 11 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $137 | $137 | — | — | 95 | $137 – $137 |
| 12 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $369 | $369 | — | — | 82–91 | $369 – $369 |
| 13 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 2 | $220 | $299 | $313 | 105% | 65 | $220 – $1.5k |
| 14 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $139 | $44 | 32% | 48–480 | $89 – $178 |
| 15 | UMass Memorial Health - Milford Regional Medical Center, Inc. Milford, MA percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 45–54 | $191 – $191 |
| 16 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | 42 | $44 – $44 |
| 17 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 4 | $141 | $171 | $115 | 67% | 41–59 | $51 – $307 |
| 18 | St Luke's Nampa Medical Center, LTD Nampa, ID other · outpatient | 1 | $151 | $151 | — | — | 34 | $151 – $151 |
| 19 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $167 | $200 | $125 | 63% | 34 | $48 – $609 |
| 20 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $73 | $73 | — | — | 33 | $73 – $73 |
| 21 | Brattleboro Retreat Brattleboro, VT outpatient | 2 | $127 | $127 | $4 | 3% | 32–41 | $124 – $131 |
| 22 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $557 | $557 | — | — | 29 | $557 – $557 |
| 23 | Sturdy Memorial Hospital Attleboro, MA percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | 29 | $112 – $112 |
| 24 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $371 | $371 | — | — | 21 | $371 – $371 |
| 25 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $157 | $157 | — | — | 21 | $157 – $157 |
← Payers reporting CPT 90791 · Snapshot 20261112T124536Z-e251e855