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 ICD LEAD EVAL & PROG
Low
$16
Average
$1.1k
Median
$55
High
$21.8k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 13.0× 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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34 hospital rates
iThe hospitals that file a Excellus 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 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $148 | $148 | $84 | 57% | — | $64 – $232 |
| 2 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $49 | $57 | $12 | 21% | — | $48 – $74 |
| 3 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $20 | $28 | $11 | 38% | — | $20 – $43 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $20 | $28 | $11 | 38% | — | $20 – $43 |
| 6 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $21.8k | $21.8k | — | — | — | $21.8k – $21.8k |
| 8 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $257 | $257 | — | — | — | $257 – $257 |
| 10 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · inpatient | 2 | $20 | $20 | $1 | 5% | — | $19 – $21 |
| 11 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · outpatient | 2 | $20 | $20 | $1 | 5% | — | $19 – $21 |
| 12 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 13 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 14 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 15 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 16 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 3 | $29 | $34 | $16 | 48% | — | $14 – $56 |
| 18 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 3 | $29 | $34 | $16 | 48% | — | $14 – $56 |
| 19 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $139 | $139 | $89 | 64% | — | $50 – $228 |
| 20 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · inpatient | 3 | $22 | $23 | $8 | 37% | — | $14 – $34 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient | 3 | $22 | $23 | $8 | 37% | — | $14 – $34 |
| 24 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 25 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
← Payers reporting CPT 93287 · Snapshot 20261111T120946Z-9134e7f7