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
Developmental Screen W/Scoring & Doc Std Instrm
Low
$0
Average
$7.9k
Median
$75
High
$6013.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
779 hospitals; the 90th percentile is 30.1× 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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1,285 hospital rates
iThe hospitals that file a Aetna 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 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA fee schedule · both | 1 | $40 | $40 | — | — | 2,909 | $40 – $40 |
| 2 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 1 | $9 | $9 | $1 | 9% | 479–488 | $8 – $9 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $24 | $5 | 19% | 210–237 | $17 – $27 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $9 | $9 | — | — | 179 | $9 – $9 |
| 5 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $9 | $9 | $1 | 9% | 136–145 | $8 – $9 |
| 6 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 1 | $9 | $9 | — | — | 121 | $9 – $9 |
| 7 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 121–130 | $27 – $27 |
| 8 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $95 | $95 | $4 | 4% | 112 | $91 – $98 |
| 9 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $142 | $139 | $28 | 20% | 90 | $103 – $172 |
| 10 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 63–81 | $24 – $24 |
| 11 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 4 | $17 | $14 | $3 | 22% | 52 | $10 – $17 |
| 12 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $9 | $9 | — | — | 49 | $9 – $9 |
| 13 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 47–56 | $24 – $24 |
| 14 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | $8 | 52% | 41–50 | $7 – $24 |
| 15 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $17 | $15 | $3 | 21% | 41–50 | $10 – $17 |
| 16 | Jennie Stuart Medical Center Hopkinsville, KY professional · other · both | 1 | $2 | $2 | — | — | 39 | $2 – $2 |
| 17 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | 30–39 | $24 – $24 |
| 18 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $251 | $266 | $43 | 16% | 30 | $220 – $342 |
| 19 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $318 | $282 | $122 | 43% | 29–74 | $39 – $366 |
| 20 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 4 | $11 | $11 | $1 | 5% | 24 | $10 – $11 |
| 21 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 1 | $9 | $9 | — | — | 17 | $9 – $9 |
| 22 | Tacoma General Allenmore Hospital Bremerton, WA percent of total billed charges · outpatientfrom % of charges | 1 | $276 | $276 | — | — | 14 | $276 – $276 |
| 23 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $276 | $276 | — | — | 13 | $276 – $276 |
| 24 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 1 | $395 | $395 | — | — | 12 | $395 – $395 |
| 25 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $9 | $9 | — | — | 12 | $9 – $9 |
← Payers reporting CPT 96110 · Snapshot 20261111T120946Z-9134e7f7