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
$17
Average
$256
Median
$171
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1358 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
2,139 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 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $207 | $207 | $115 | 56% | 720 | $92 – $322 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $410 | $360 | $64 | 18% | 615 | $263 – $410 |
| 3 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $367 | $367 | — | — | 358–367 | $367 – $367 |
| 4 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $132 | $25 | 19% | 288 | $87 – $160 |
| 5 | Northfield Hospital Northfield, MN other · both | 1 | $328 | $328 | — | — | 263 | $328 – $328 |
| 6 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $372 | $372 | $11 | 3% | 228 | $361 – $383 |
| 7 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 4 | $188 | $198 | $19 | 10% | 222 | $180 – $233 |
| 8 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $330 | $330 | — | — | 198 | $330 – $330 |
| 9 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $234 | $234 | $11 | 5% | 170 | $223 – $246 |
| 10 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $335 | $335 | $0 | 0% | 168 | $335 – $336 |
| 11 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $164 | $159 | $14 | 9% | 160 | $135 – $172 |
| 12 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $126 | $123 | $9 | 7% | 146 | $109 – $131 |
| 13 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $88 | $88 | — | — | 114 | $88 – $88 |
| 14 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | 114 | $186 – $186 |
| 15 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 3 | $133 | $175 | $59 | 34% | 103 | $133 – $258 |
| 16 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 3 | $133 | $175 | $59 | 34% | 103 | $133 – $258 |
| 17 | Holyoke Medical Center Holyoke, MA facility · other · outpatient | 3 | $222 | $230 | $11 | 5% | 99–108 | $222 – $245 |
| 18 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $205 | $202 | $8 | 4% | 94 | $184 – $206 |
| 19 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | 94 | $186 – $186 |
| 20 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 4 | $132 | $126 | $21 | 17% | 83 | $92 – $147 |
| 21 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 3 | $80 | $80 | — | — | 78 | $80 – $80 |
| 22 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 2 | $134 | $134 | $39 | 29% | 75 | $96 – $173 |
| 23 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $134 | — | — | 73 | $134 – $134 |
| 24 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 1 | $99 | $99 | — | — | 72 | $99 – $99 |
| 25 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 11 | $189 | $189 | $1 | 0% | 69–105 | $187 – $189 |
← Payers reporting CPT 97162 · Snapshot 20261111T120946Z-9134e7f7