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
$5
Average
$170
Median
$65
High
$888
Each hospital's average Molina rate, under the methodology and billing class chosen below.
271 hospitals; the 90th percentile is 48.2× 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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343 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 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 161 | $30 – $30 |
| 2 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM professional · other · outpatient | 1 | $13 | $13 | — | — | 138 | $13 – $13 |
| 3 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $251 | $251 | — | — | 104 | $251 – $251 |
| 4 | St Mary Mercy Livonia Livonia, MI professional · fee schedule · outpatient | 4 | $11 | $12 | $2 | 17% | 88 | $10 – $15 |
| 5 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | 77 | $65 – $65 |
| 6 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 1 | $112 | $118 | $8 | 7% | 31–40 | $112 – $130 |
| 7 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $112 | $112 | — | — | 3–30 | $112 – $112 |
| 8 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | — | — | 3–30 | $43 – $43 |
| 9 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 1 | $112 | $112 | — | — | 2–20 | $112 – $112 |
| 10 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 1 | $130 | $130 | — | — | 2–20 | $130 – $130 |
| 11 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 4 | $10 | $11 | $2 | 20% | 1–10 | $9 – $15 |
| 12 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient | 4 | $11 | $11 | $2 | 18% | 1–10 | $10 – $15 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 14 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 15 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 17 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $17 | $17 | $6 | 34% | — | $11 – $23 |
| 18 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 19 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 20 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 21 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 22 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 23 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 24 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 25 | Aurora Lakeland Medical Center Elkhorn, WI case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
← Payers reporting CPT 96110 · Snapshot 20261111T120946Z-9134e7f7