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
$20
Average
$395
Median
$79
High
$9.7k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
314 hospitals; the 90th percentile is 20.0× 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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625 hospital rates
iThe hospitals that file a Anthem 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 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $98 | $86 | $30 | 35% | 1,646–1,655 | $37 – $112 |
| 2 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 2 | $79 | $79 | $50 | 64% | 913 | $29 – $128 |
| 3 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 2 | $182 | $182 | $26 | 14% | 579 | $156 – $208 |
| 4 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $235 | $242 | $73 | 30% | 497–506 | $150 – $349 |
| 5 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | 396–423 | $57 – $57 |
| 6 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 6 | $46 | $41 | $9 | 21% | 395–422 | $25 – $49 |
| 7 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $106 | $119 | $95 | 80% | 276 | $19 – $247 |
| 8 | Columbus Regional Hospital Columbus, IN other · both | 1 | $39 | $39 | — | — | 273 | $39 – $39 |
| 9 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $15 | $15 | — | — | 195 | $15 – $15 |
| 10 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $671 | $671 | $15 | 2% | 168–177 | $657 – $686 |
| 11 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 2 | $217 | $217 | $37 | 17% | 154 | $179 – $254 |
| 12 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 2 | $155 | $155 | $4 | 2% | 139–157 | $151 – $158 |
| 13 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 3 | $87 | $4.4k | $9.7k | 219% | 114 | $78 – $26.3k |
| 14 | The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient | 3 | $36 | $33 | $6 | 17% | 41–77 | $18 – $36 |
| 15 | Eskenazi Health Indianapolis, IN facility · other · both | 2 | $39 | $39 | — | — | 35–44 | $39 – $39 |
| 16 | Eskenazi Health Indianapolis, IN facility · other · outpatient | 2 | $39 | $39 | — | — | 35–44 | $39 – $39 |
| 17 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $15 | $15 | — | — | 33 | $15 – $15 |
| 18 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $101 | $101 | — | — | 22 | $101 – $101 |
| 19 | Holy Family Memorial Inc Manitowoc, WI other · inpatient | 2 | $62 | $62 | $27 | 43% | 19–28 | $35 – $89 |
| 20 | Piedmont Augusta Augusta, GA percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | 18 | $50 – $50 |
| 21 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | 16 | $195 – $195 |
| 22 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $19 | $19 | — | — | 13 | $19 – $19 |
| 23 | Columbus Regional Hospital Columbus, IN per diem · both | 1 | $649 | $649 | — | — | 12 | $649 – $649 |
| 24 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 3 | $32 | $29 | $4 | 13% | 3–30 | $20 – $32 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · inpatientfrom % of charges | 1 | $183 | $183 | — | — | 1–10 | $183 – $183 |
← Payers reporting CPT 93296 · Snapshot 20261111T120946Z-9134e7f7