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
$1
Average
$142
Median
$39
High
$2.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
445 hospitals; the 90th percentile is 4.2× 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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603 hospital rates
iThe hospitals that file a Molina 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 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $15 | $15 | — | — | 321 | $15 – $15 |
| 2 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 2 | $68 | $68 | $27 | 40% | 248–257 | $41 – $95 |
| 3 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $116 | $116 | $57 | 49% | 128 | $59 – $173 |
| 4 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $93 | $105 | $67 | 64% | 90 | $40 – $192 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $36 | $36 | — | — | 78 | $36 – $36 |
| 6 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 71 | $96 – $96 |
| 7 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 2 | $41 | $41 | $0 | 1% | 64–73 | $40 – $41 |
| 8 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $15 | $15 | — | — | 57 | $15 – $15 |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 3 | $39 | $37 | $13 | 34% | 49 | $21 – $52 |
| 10 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 2 | $118 | $118 | $5 | 4% | 34–43 | $114 – $123 |
| 11 | Brigham and Women's Hospital Boston, MA other · both | 1 | $43 | $43 | — | — | 30 | $43 – $43 |
| 12 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | 22 | $44 – $44 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $36 | $35 | $11 | 31% | 22–31 | $21 – $48 |
| 14 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient | 2 | $42 | $42 | $0 | 1% | 16 | $42 – $43 |
| 15 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 3 | $37 | $36 | $10 | 27% | 13–31 | $21 – $49 |
| 16 | Newton Wellesley Hospital Newton, MA other · both | 1 | $44 | $44 | — | — | 3–30 | $44 – $44 |
| 17 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 2 | $25 | $25 | $11 | 43% | 3–30 | $14 – $36 |
| 18 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $59 | $1.5k | $3.5k | 235% | 2–20 | $59 – $10.0k |
| 19 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $46 | $46 | $17 | 36% | 2–20 | $29 – $63 |
| 20 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $25 | $25 | $11 | 43% | 2–20 | $14 – $36 |
| 21 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | — | — | 2–20 | $35 – $35 |
| 22 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $539 | $539 | — | — | 1–10 | $539 – $539 |
| 23 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 5 | $28 | $26 | $9 | 34% | 1–10 | $13 – $39 |
| 24 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $72 | $72 | — | — | 1–10 | $72 – $72 |
| 25 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $90 | $73 | $24 | 33% | 1–10 | $39 – $90 |
← Payers reporting CPT 93296 · Snapshot 20261111T120946Z-9134e7f7