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
Interrog Device Eval W/Analys Rev & Rpt Sq
Low
$13
Average
$310
Median
$82
High
$21.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
753 hospitals; the 90th percentile is 5.7× 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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1,103 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $366 | $335 | $46 | 14% | 16–25 | $278 – $404 |
| 2 | Stanford Health Care Stanford, CA fee schedule · both | 2 | $167 | $195 | $56 | 29% | 13–31 | $127 – $279 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $22 | $21 | $4 | 17% | 4–40 | $15 – $25 |
| 4 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $47 | $94 | $111 | 118% | 3–30 | $32 – $385 |
| 5 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 5 | $47 | $94 | $111 | 118% | 3–30 | $32 – $385 |
| 6 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 4 | $197 | $255 | $92 | 36% | 1–10 | $164 – $422 |
| 7 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $251 | $254 | $86 | 34% | 1–10 | $159 – $365 |
| 8 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $31 | $26 | $8 | 31% | 1–10 | $12 – $32 |
| 9 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $31 | $26 | $8 | 31% | 1–10 | $12 – $32 |
| 10 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · other · both | 2 | $29 | $29 | $8 | 27% | 1–10 | $21 – $37 |
| 11 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $126 | $126 | — | — | 1–10 | $126 – $126 |
| 12 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $58 | $68 | $31 | 46% | — | $36 – $120 |
| 13 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $54 | $51 | $9 | 18% | — | $36 – $60 |
| 14 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 6 | $55 | $58 | $24 | 41% | — | $36 – $107 |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $131 | $170 | $63 | 37% | — | $109 – $246 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 4 | $57 | $53 | $18 | 34% | — | $28 – $71 |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 18 | $37 | $49 | $23 | 47% | — | $26 – $112 |
| 18 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 19 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $59 | $59 | $1 | 2% | — | $57 – $59 |
| 20 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $52 | $52 | $12 | 22% | — | $40 – $63 |
| 21 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $52 | $52 | $12 | 23% | — | $40 – $63 |
| 22 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $52 | $52 | $12 | 23% | — | $40 – $63 |
| 23 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $52 | $52 | $12 | 23% | — | $40 – $63 |
| 24 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $52 | $52 | $12 | 23% | — | $40 – $63 |
| 25 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $150 | $150 | $11 | 7% | — | $140 – $161 |
← Payers reporting CPT 93261 · Snapshot 20261112T181611Z-3fa9fb76