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
Test to assess the ability to complete specific functional tasks applicable to environment
Low
$9
Average
$118
Median
$103
High
$2.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
630 hospitals; the 90th percentile is 1.6× 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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797 hospital rates
iThe hospitals that file a WellCare 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 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | 2–20 | $129 – $129 |
| 2 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $97 | $97 | — | — | 2–20 | $97 – $97 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | 1–10 | $128 – $128 |
| 8 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $587 | $587 | $490 | 83% | 1–10 | $97 – $1.1k |
| 9 | East Carolina Health-Bertie Windsor, NC percent of total billed charges · bothfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 10 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 11 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 12 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 13 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | — | — | 1–10 | $67 – $67 |
| 14 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 15 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 16 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $437 | $437 | $340 | 78% | 1–10 | $96 – $777 |
| 17 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 18 | WRMC Hospital Operating Corporation North Wilkesboro, NC other · outpatient | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 19 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 20 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $108 | $108 | $3 | 2% | — | $105 – $111 |
| 21 | ANGEL MEDICAL CENTER Franklin, NC percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 22 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 23 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 24 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 25 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
← Payers reporting CPT 96125 · Snapshot 20261111T120946Z-9134e7f7