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 TILT TABLE EVAL W/WO DRUG
Low
$1
Average
$591
Median
$301
High
$4.3k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
110 hospitals; the 90th percentile is 49.1× 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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134 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both | 16 | $1.9k | $1.9k | $150 | 8% | 33–42 | $1.9k – $2.2k |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · both | 2 | $2.0k | $2.0k | $185 | 9% | 2–20 | $1.9k – $2.2k |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both | 2 | $2.0k | $2.0k | $185 | 9% | 1–10 | $1.9k – $2.2k |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $946 | $946 | — | — | — | $946 – $946 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $765 | $765 | — | — | — | $765 – $765 |
| 6 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 7 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 8 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 9 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $114 | $114 | $5 | 5% | — | $108 – $119 |
| 10 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $114 | $114 | $5 | 5% | — | $108 – $119 |
| 11 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 13 | CentraState Medical Center Freehold Township, NJ percent of total billed charges · bothfrom % of charges | 1 | $327 | $327 | — | — | — | $327 – $327 |
| 14 | Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 15 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $55 | $55 | — | — | — | $55 – $55 |
| 16 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $55 | $55 | — | — | — | $55 – $55 |
| 17 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 18 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 19 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $360 | $360 | — | — | — | $360 – $360 |
| 20 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $88 | $88 | $36 | 40% | — | $53 – $124 |
| 21 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $88 | $88 | $36 | 40% | — | $53 – $124 |
| 22 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $110 | $110 | $5 | 5% | — | $105 – $116 |
| 23 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $649 | $649 | — | — | — | $649 – $649 |
| 24 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $110 | $110 | $5 | 5% | — | $105 – $116 |
| 25 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN per diem · both | 2 | $2.0k | $2.0k | $185 | 9% | — | $1.9k – $2.2k |
← Payers reporting CPT 93660 · Snapshot 20261111T120946Z-9134e7f7