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
$1.5k
Median
$1k
High
$139.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1675 hospitals; the 90th percentile is 8.4× 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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3,189 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $459 | $547 | $197 | 36% | 175–193 | $361 – $820 |
| 2 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.3k | $2.3k | $246 | 10% | 40 | $2.1k – $2.6k |
| 3 | Saint Luke’s East Hospital Summit, MO per diem · both | 13 | $1.0k | $1.0k | $66 | 7% | 32–68 | $771 – $1.0k |
| 4 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 2 | $2.1k | $2.1k | — | — | 24–33 | $2.1k – $2.1k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 2 | $2.7k | $2.7k | $1.8k | 66% | 22 | $914 – $4.5k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $5.4k | $4.6k | $2.8k | 60% | 21 | $914 – $7.5k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $3.5k | $2.7k | 77% | 20 | $812 – $6.1k |
| 8 | Curators of the University of Missouri Jefferson City, MO facility · other · outpatient | 5 | $1.6k | $1.5k | $141 | 9% | 18 | $1.3k – $1.7k |
| 9 | Springhill Memorial Hospital Mobile, AL other · outpatient | 2 | $891 | $891 | $404 | 45% | 16–25 | $487 – $1.3k |
| 10 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN per diem · both | 8 | $1.9k | $1.7k | $624 | 37% | 15–33 | $50 – $2.1k |
| 11 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL per diem · outpatient | 1 | $561 | $561 | — | — | 15 | $561 – $561 |
| 12 | Barnes Jewish Hospital St. Louis, MO per diem · both | 1 | $1.1k | $1.1k | — | — | 13 | $1.1k – $1.1k |
| 13 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $130 | $130 | — | — | 12 | $130 – $130 |
| 14 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $773 | $773 | — | — | 12 | $773 – $773 |
| 15 | High Point Regional Health High Point, NC other · outpatient | 1 | $512 | $512 | — | — | 12 | $512 – $512 |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN case rate · both | 1 | $1.6k | $1.6k | — | — | 11 | $1.6k – $1.6k |
| 17 | Piedmont Macon Macon, GA fee schedule · both | 2 | $1.5k | $1.5k | $315 | 21% | 11 | $1.2k – $1.8k |
| 18 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.1k | $807 | 72% | 6–60 | $201 – $1.9k |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.2k | $861 | 72% | 6–60 | $214 – $2.1k |
| 20 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | $147 | 4% | 6–60 | $3.6k – $4.1k |
| 21 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 5 | $515 | $633 | $401 | 63% | 5–50 | $77 – $1.2k |
| 22 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 5 | $848 | $755 | $417 | 55% | 5–50 | $85 – $1.3k |
| 23 | USA Health University Hospital Mobile, AL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $372 | $440 | $136 | 31% | 5–50 | $372 – $711 |
| 24 | Advocate Condell Medical Center Libertyville, IL percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $167 | 12% | 4–40 | $1.1k – $1.6k |
| 25 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN per diem · both | 8 | $1.9k | $1.7k | $624 | 37% | 4–40 | $50 – $2.1k |
← Payers reporting CPT 93660 · Snapshot 20261112T181611Z-3fa9fb76