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
$70
Average
$244
Median
$247
High
$490
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
128 hospitals; the 90th percentile is 2.6× 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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248 hospital rates
iThe hospitals that file a Healthpartners 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 | Northfield Hospital Northfield, MN percent of total billed charges · bothfrom % of charges | 1 | $245 | $245 | — | — | 37 | $245 – $245 |
| 2 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | 32 | $287 – $287 |
| 3 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $232 | — | — | 12 | $232 – $232 |
| 4 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 5 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 6 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 7 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 8 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 9 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 10 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 11 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 12 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | 1–10 | $287 – $287 |
| 13 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $330 | $330 | — | — | 1–10 | $330 – $330 |
| 14 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | 1–10 | $328 – $328 |
| 15 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 1 | $174 | $174 | — | — | 1–10 | $174 – $174 |
| 16 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 1 | $174 | $174 | — | — | 1–10 | $174 – $174 |
| 17 | Avera Merrill Pioneer Rock Rapids, IA percent of total billed charges · outpatientfrom % of charges | 1 | $328 | $328 | — | — | 1–10 | $328 – $328 |
| 18 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 1 | $195 | $195 | — | — | 1–10 | $195 – $195 |
| 19 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $385 | $385 | — | — | 1–10 | $385 – $385 |
| 20 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | 1–10 | $287 – $287 |
| 21 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $333 | $333 | — | — | 1–10 | $333 – $333 |
| 22 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $416 | $416 | — | — | 1–10 | $416 – $416 |
| 23 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 1 | $232 | $232 | — | — | 1–10 | $232 – $232 |
| 24 | Avera Tyler Hospital Tyler, MN percent of total billed charges · outpatientfrom % of charges | 1 | $274 | $274 | — | — | 1–10 | $274 – $274 |
| 25 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
← Payers reporting CPT 97162 · Snapshot 20261111T120946Z-9134e7f7