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
$31
Average
$233
Median
$187
High
$7.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
544 hospitals; the 90th percentile is 3.8× 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.
Filter by billing methodology
Filter by billing class
1,091 hospital rates
iThe hospitals that file a Anthem 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 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $200 | $200 | $29 | 14% | 1,390 | $171 – $228 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $212 | $212 | $61 | 29% | 834 | $151 – $273 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | 684 | $151 – $151 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | 641 | $151 – $151 |
| 5 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT case rate · outpatient | 2 | $313 | $313 | $45 | 14% | 316 | $268 – $357 |
| 6 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT case rate · outpatient | 2 | $193 | $193 | $28 | 14% | 298 | $165 – $220 |
| 7 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $364 | $364 | $152 | 42% | 275 | $212 – $516 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $151 | — | — | 267 | $151 – $151 |
| 9 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT case rate · outpatient | 2 | $177 | $177 | $26 | 14% | 260 | $151 – $202 |
| 10 | Wayne Hospital Company Greenville, OH percent of total billed charges · bothfrom % of charges | 2 | $211 | $211 | $105 | 50% | 249 | $106 – $316 |
| 11 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $262 | $257 | $35 | 13% | 240–249 | $213 – $298 |
| 12 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 1 | $145 | $145 | — | — | 231 | $145 – $145 |
| 13 | NORTHERN MAINE MEDICAL CENTER FORT KENT, ME percent of total billed charges · outpatientfrom % of charges | 2 | $181 | $177 | $59 | 33% | 216 | $114 – $289 |
| 14 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 3 | $330 | $260 | $117 | 45% | 209–227 | $95 – $354 |
| 15 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $103 | $103 | — | — | 198 | $103 – $103 |
| 16 | Hospital Authority of Miller County Colquitt, GA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $158 | $158 | $45 | 29% | 190 | $113 – $203 |
| 17 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $326 | $326 | $38 | 12% | 155 | $287 – $364 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 147 | $71 – $71 |
| 19 | Central Georgia Rehabilitation LLC Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | — | — | 147 | $224 – $224 |
| 20 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 3 | $291 | $286 | $9 | 3% | 117–126 | $273 – $293 |
| 21 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO other · inpatient | 2 | $145 | $145 | $45 | 31% | 88–97 | $101 – $190 |
| 22 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient | 2 | $121 | $111 | $13 | 12% | 87–105 | $93 – $121 |
| 23 | University of Virginia Culpeper Medical Center Culpeper, VA fee schedule · both | 3 | $97 | $97 | — | — | 86–122 | $97 – $97 |
| 24 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | 85 | $408 – $408 |
| 25 | Appalachian Regional Healthcare, Inc. Harlan, KY other · outpatient | 1 | $93 | $93 | — | — | 84 | $93 – $93 |
← Payers reporting CPT 97162 · Snapshot 20261111T120946Z-9134e7f7