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
$2.4k
Median
$241
High
$3503.3k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1692 hospitals; the 90th percentile is 3.9× 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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2,491 hospital rates
iThe hospitals that file a Cigna 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 | 1 | $178 | $178 | — | — | 379 | $178 – $178 |
| 2 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $238 | $245 | $32 | 13% | 268 | $208 – $296 |
| 3 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $238 | $245 | $32 | 13% | 268 | $208 – $296 |
| 4 | Connecticut Children's Hartford, CT per diem · outpatient | 1 | $225 | $225 | — | — | 162 | $225 – $225 |
| 5 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $366 | $366 | — | — | 127 | $366 – $366 |
| 6 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 2 | $240 | $240 | $33 | 14% | 122 | $207 – $273 |
| 7 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 2 | $126 | $126 | $28 | 22% | 100 | $98 – $154 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 3 | $326 | $326 | — | — | 96–114 | $326 – $326 |
| 9 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT case rate · outpatient | 1 | $210 | $210 | — | — | 93 | $210 – $210 |
| 10 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT case rate · outpatient | 1 | $245 | $245 | — | — | 87 | $245 – $245 |
| 11 | UMass Memorial Health - Milford Regional Medical Center, Inc. Milford, MA percent of total billed charges · outpatientfrom % of charges | 2 | $285 | $285 | — | — | 66 | $285 – $285 |
| 12 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $491 | $433 | $76 | 18% | 65 | $315 – $491 |
| 13 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $341 | $341 | — | — | 51 | $341 – $341 |
| 14 | VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges | 3 | $285 | $285 | — | — | 49–67 | $285 – $285 |
| 15 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT case rate · outpatient | 1 | $205 | $205 | — | — | 46 | $205 – $205 |
| 16 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $296 | $317 | $46 | 14% | 40–49 | $280 – $395 |
| 17 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $429 | $429 | — | — | 39 | $429 – $429 |
| 18 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $323 | $323 | — | — | 35 | $323 – $323 |
| 19 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $27.3k | $27.3k | — | — | 34 | $27.3k – $27.3k |
| 20 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges | 1 | $326 | $326 | — | — | 30–48 | $326 – $326 |
| 21 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $333 | $333 | — | — | 28 | $333 – $333 |
| 22 | SOUTH COUNTY HEALTH Greenwich, RI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $94 | $63 | 67% | 28–64 | $43 – $183 |
| 23 | Baystate Wing Hospital Palmer, MA other · both | 1 | $196 | $196 | — | — | 26 | $196 – $196 |
| 24 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $379 | $379 | — | — | 26 | $379 – $379 |
| 25 | Lexington Medical Center Lexington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | — | — | 26 | $169 – $169 |
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