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
$225
Median
$59
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
629 hospitals; the 90th percentile is 15.2× 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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936 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 3 | $43 | $40 | $7 | 18% | 6,435 | $30 – $47 |
| 2 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $23 | $1 | 6% | 1,321–1,348 | $22 – $25 |
| 3 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $25 | $25 | — | — | 1,050–1,068 | $25 – $25 |
| 4 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $92 | $92 | $0 | 0% | 632 | $92 – $92 |
| 5 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $47 | $6 | 13% | 591 | $35 – $50 |
| 6 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 3 | $19 | $17 | $4 | 21% | 533–605 | $10 – $19 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $20 | $20 | — | — | 427–445 | $20 – $20 |
| 8 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $34 | $35 | $2 | 4% | 378 | $34 – $37 |
| 9 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 4 | $19 | $17 | $4 | 21% | 271–370 | $10 – $19 |
| 10 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 2 | $9 | $11 | $2 | 17% | 205 | $9 – $13 |
| 11 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | 185 | $15 – $15 |
| 12 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 173 | $20 – $20 |
| 13 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $9 | $10 | $2 | 18% | 171 | $8 – $13 |
| 14 | Holyoke Medical Center Holyoke, MA facility · other · outpatient | 3 | $28 | $29 | $1 | 5% | 80 | $28 – $30 |
| 15 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $52 | $49 | $9 | 17% | 68 | $36 – $58 |
| 16 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $49 | $47 | $8 | 17% | 68 | $34 – $55 |
| 17 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $140 | $140 | — | — | 65 | $140 – $140 |
| 18 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 3 | $9 | $16 | $9 | 58% | 64–82 | $9 – $29 |
| 19 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $27 | $23 | $6 | 28% | 58–157 | $10 – $27 |
| 20 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $22 | $22 | $0 | 0% | 58 | $22 – $22 |
| 21 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 9 | $70 | $71 | $3 | 4% | 54–63 | $69 – $78 |
| 22 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | 42–51 | $21 – $21 |
| 23 | Carle BroMenn Medical Center Normal, IL other · outpatient | 1 | $115 | $115 | — | — | 37 | $115 – $115 |
| 24 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | 32–95 | $27 – $27 |
| 25 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $25 | $25 | — | — | 28 | $25 – $25 |
← Payers reporting CPT 96110 · Snapshot 20261111T120946Z-9134e7f7