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
Interogation Device Eval (Remote); S/D/M Pm/Icd
Low
$15
Average
$198
Median
$59
High
$5.3k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1130 hospitals; the 90th percentile is 8.6× 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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1,817 hospital rates
iThe hospitals that file a Aetna 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 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 5 | $34 | $47 | $21 | 45% | 1,598 | $25 – $80 |
| 2 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $37 | $37 | — | — | 1,595 | $37 – $37 |
| 3 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $37 | $37 | — | — | 1,595 | $37 – $37 |
| 4 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $30 | $30 | — | — | 1,203 | $30 – $30 |
| 5 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | 1,203 | $65 – $65 |
| 6 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $199 | $199 | $0 | 0% | 1,203 | $199 – $199 |
| 7 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $16 | $16 | — | — | 925 | $16 – $16 |
| 8 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | 492 | $57 – $57 |
| 9 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 4 | $33 | $46 | $24 | 53% | 422 | $18 – $80 |
| 10 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $37 | $37 | — | — | 373 | $37 – $37 |
| 11 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 1 | $37 | $37 | — | — | 315 | $37 – $37 |
| 12 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $269 | $264 | $16 | 6% | 286–304 | $234 – $278 |
| 13 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $35 | $35 | — | — | 249 | $35 – $35 |
| 14 | Brigham and Women's Hospital Boston, MA other · both | 1 | $46 | $46 | — | — | 233 | $46 – $46 |
| 15 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $146 | $148 | $4 | 3% | 218 | $146 – $156 |
| 16 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $212 | $207 | $42 | 20% | 218 | $154 – $257 |
| 17 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $36 | $36 | — | — | 158 | $36 – $36 |
| 18 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | 152 | $88 – $88 |
| 19 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 1 | $39 | $39 | — | — | 134 | $39 – $39 |
| 20 | The University of Texas Medical Branch Webster, TX other · both | 2 | $46 | $46 | $8 | 18% | 126 | $38 – $54 |
| 21 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $16 | $16 | — | — | 102 | $16 – $16 |
| 22 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $39 | $39 | — | — | 99 | $39 – $39 |
| 23 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | 98 | $65 – $65 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 3 | $98 | $79 | $31 | 38% | 97–106 | $36 – $104 |
| 25 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $181 | $181 | — | — | 97 | $181 – $181 |
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