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
$857
Median
$476
High
$10.5k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
608 hospitals; the 90th percentile is 15.1× 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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901 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 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 26 | $1.1k – $1.1k |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $812 | $812 | — | — | 23 | $812 – $812 |
| 3 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL fee schedule · outpatient | 2 | $361 | $361 | $210 | 58% | 15–24 | $151 – $571 |
| 4 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $799 | $799 | $49 | 6% | 14 | $750 – $848 |
| 5 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $343 | $343 | — | — | 2–20 | $343 – $343 |
| 6 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $533 | $533 | — | — | 2–20 | $533 – $533 |
| 7 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $161 | $161 | — | — | 1–10 | $161 – $161 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $914 | $914 | — | — | 1–10 | $914 – $914 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $914 | $914 | — | — | 1–10 | $914 – $914 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $914 | $914 | — | — | 1–10 | $914 – $914 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $812 | $812 | — | — | 1–10 | $812 – $812 |
| 12 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $594 | $3.0k | $4.1k | 139% | 1–10 | $594 – $10.1k |
| 13 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 14 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT fee schedule · outpatient | 2 | $355 | $355 | $14 | 4% | 1–10 | $341 – $369 |
| 15 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 16 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $364 | $353 | $111 | 31% | 1–10 | $213 – $483 |
| 17 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $365 | $365 | — | — | 1–10 | $365 – $365 |
| 18 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 1 | $151 | $151 | — | — | 1–10 | $151 – $151 |
| 19 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 22 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $556 | $556 | — | — | — | $556 – $556 |
| 23 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $394 | $394 | — | — | — | $394 – $394 |
| 24 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
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