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
MODERATE COMPLEXITY PT EVALUATION
Low
$1
Average
$2.1k
Median
$193
High
$3959.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2131 hospitals; the 90th percentile is 3.7× 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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3,843 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $359 | $98 | 27% | 1,262 | $194 – $505 |
| 2 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $103 | $103 | — | — | 759 | $103 – $103 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $269 | $269 | $220 | 82% | 378 | $49 – $489 |
| 4 | UMass Memorial Health - Milford Regional Medical Center, Inc. Milford, MA percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $193 | $92 | 47% | 264–273 | $101 – $285 |
| 5 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $261 | $214 | $67 | 31% | 240 | $120 – $261 |
| 6 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $205 | $205 | $5 | 2% | 240–249 | $200 – $210 |
| 7 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $94 | $94 | — | — | 210 | $94 – $94 |
| 8 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $103 | $103 | — | — | 205 | $103 – $103 |
| 9 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $103 | $103 | — | — | 188 | $103 – $103 |
| 10 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 5 | $142 | $154 | $39 | 25% | 180 | $99 – $216 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $138 | $138 | $89 | 65% | 178 | $49 – $228 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $134 | $134 | $66 | 50% | 149 | $67 – $200 |
| 13 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $97 | $94 | $7 | 7% | 141 | $74 – $97 |
| 14 | Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges | 5 | $163 | $167 | $87 | 52% | 139–184 | $71 – $298 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $253 | $214 | $117 | 55% | 134 | $55 – $333 |
| 16 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $27.3k | $27.3k | — | — | 129 | $27.3k – $27.3k |
| 17 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 1 | $103 | $103 | — | — | 119 | $103 – $103 |
| 18 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $98 | $98 | — | — | 113 | $98 – $98 |
| 19 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $222 | $11 | 5% | 113 | $205 – $231 |
| 20 | Connecticut Children's Hartford, CT per diem · outpatient | 2 | $268 | $268 | $14 | 5% | 101–110 | $254 – $282 |
| 21 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $346 | $346 | — | — | 99 | $346 – $346 |
| 22 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $307 | $307 | — | — | 95 | $307 – $307 |
| 23 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $307 | $307 | — | — | 95 | $307 – $307 |
| 24 | Opelousas General Main Campus Opelousas, LA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $91 | — | — | 90 | $91 – $91 |
| 25 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT case rate · outpatient | 3 | $210 | $207 | $5 | 2% | 89 | $200 – $210 |
← Payers reporting CPT 97162 · Snapshot 20261111T120946Z-9134e7f7