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
PR PERI-PROC PCMKR EVAL & PROG
Low
$1
Average
$128
Median
$29
High
$714
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
80 hospitals; the 90th percentile is 57.7× 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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92 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 7 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $24 | $24 | $1 | 5% | — | $23 – $25 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 9 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 11 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 12 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $19 | $19 | $5 | 27% | — | $14 – $24 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $19 | $19 | $5 | 27% | — | $14 – $24 |
| 15 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $24 | $24 | — | — | — | $24 – $24 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN per diem · both | 2 | $714 | $714 | $65 | 9% | — | $649 – $778 |
| 17 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both | 14 | $649 | $679 | $55 | 8% | — | $649 – $778 |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both | 14 | $649 | $681 | $56 | 8% | — | $649 – $778 |
| 19 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both | 16 | $649 | $677 | $54 | 8% | — | $649 – $778 |
| 20 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both | 2 | $714 | $714 | $65 | 9% | — | $649 – $778 |
| 21 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN per diem · both | 2 | $714 | $714 | $65 | 9% | — | $649 – $778 |
| 22 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN per diem · both | 2 | $714 | $714 | $65 | 9% | — | $649 – $778 |
| 23 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $21 | $21 | $11 | 52% | — | $10 – $32 |
| 24 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 25 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting CPT 93286 · Snapshot 20261111T120946Z-9134e7f7