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
$22
Average
$118
Median
$50
High
$530
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 15.1× 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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27 hospital rates
iThe hospitals that file a Magellan 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $900 | $900 | — | — | — | $900 – $900 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 2 | $39 | $39 | $3 | 9% | — | $35 – $42 |
| 6 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 7 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $530 | $530 | $13 | 2% | — | $517 – $543 |
| 8 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $530 | $530 | $13 | 2% | — | $517 – $543 |
| 9 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 11 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · inpatient | 1 | $34 | $34 | $11 | 33% | — | $23 – $45 |
| 12 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 13 | Morristown Medical Center Morristown, NJ other · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 14 | Morristown Medical Center Morristown, NJ other · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 15 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 16 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | — | — | — | $135 – $135 |
| 18 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $324 | $324 | $247 | 76% | — | $77 – $570 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 22 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 23 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI professional · fee schedule · inpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 24 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI professional · fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 25 | Tri-City Medical Center Oceanside, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
← Payers reporting CPT 93261 · Snapshot 20261112T181611Z-3fa9fb76