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
$3
Average
$447
Median
$181
High
$35k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
277 hospitals; the 90th percentile is 7.7× 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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423 hospital rates
iThe hospitals that file a First Health 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 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 2 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 3 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 4 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 5 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 6 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 7 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 8 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 9 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 10 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 11 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 12 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 13 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 14 | Allina Health Systems River Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 15 | Allina Health Systems River Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 16 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 17 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $192 | — | — | — | $192 – $192 |
| 18 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 19 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 20 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 21 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 22 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $275 | $275 | — | — | — | $275 – $275 |
| 23 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 24 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 25 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
← Payers reporting CPT 93261 · Snapshot 20261112T181611Z-3fa9fb76