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
$42
Average
$11.4k
Median
$137
High
$1949.2k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
174 hospitals; the 90th percentile is 4.2× 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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244 hospital rates
iThe hospitals that file a Highmark 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 | STONEWALL JACKSON HOSPITAL Weston, WV other · outpatient | 1 | $398 | $398 | — | — | 34 | $398 – $398 |
| 2 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $132 | $132 | $4 | 3% | 27–36 | $128 – $136 |
| 3 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 3 | $283 | $278 | $35 | 12% | 26–62 | $222 – $327 |
| 4 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $230 | $230 | — | — | 25 | $230 – $230 |
| 5 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $291 | — | — | 15 | $291 – $291 |
| 6 | Webster Memorial Hospital Inc Cowen, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4869.9k | $4872.8k | $243.5k | 5% | 13–31 | $4580.4k – $5170.9k |
| 7 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 6 | $92 | $87 | $14 | 16% | 13–22 | $60 – $96 |
| 8 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $406 | $342 | $147 | 43% | 3–30 | $92 – $464 |
| 9 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 2 | $523 | $523 | $59 | 11% | 2–20 | $464 – $582 |
| 10 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $88 | $88 | $0 | 0% | 2–20 | $87 – $88 |
| 11 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $135 | $135 | $1 | 0% | 2–20 | $135 – $136 |
| 12 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 3 | $95 | $93 | $6 | 6% | 1–10 | $73 – $96 |
| 13 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $304 | $304 | — | — | 1–10 | $304 – $304 |
| 14 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $96 | $91 | $9 | 10% | 1–10 | $73 – $96 |
| 15 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 3 | $418 | $378 | $192 | 51% | 1–10 | $116 – $562 |
| 16 | Nicholas H. Noyes Memorial Hospital Dansville, NY percent of total billed charges · outpatientfrom % of charges | 1 | $152 | $152 | — | — | 1–10 | $152 – $152 |
| 17 | Princeton Community Hospital Assn Inc. Princeton, WV facility · other · outpatient | 2 | $96 | $88 | $11 | 12% | 1–10 | $73 – $96 |
| 18 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 19 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 10 | $95 | $114 | $38 | 33% | — | $73 – $171 |
| 20 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $89 | $89 | $1 | 2% | — | $84 – $89 |
| 21 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 20 | $89 | $101 | $25 | 25% | — | $46 – $157 |
| 22 | Albert Einstein Medical Center Philadelphia, PA fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 23 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 24 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 4 | $91 | $92 | $6 | 6% | — | $85 – $100 |
| 25 | Armstrong County Memorial Hospital Kittanning, PA facility · other · outpatient | 4 | $223 | $200 | $50 | 25% | — | $114 – $240 |
← Payers reporting CPT 97162 · Snapshot 20261111T120946Z-9134e7f7