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
$58
Average
$246
Median
$205
High
$3.5k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
297 hospitals; the 90th percentile is 2.9× 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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535 hospital rates
iThe hospitals that file a Medica 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 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $96 | $149 | $86 | 57% | 222 | $81 – $270 |
| 2 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 3 | $121 | $162 | $77 | 47% | 64 | $96 – $270 |
| 3 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $297 | $297 | $92 | 31% | 58 | $205 – $389 |
| 4 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 2 | $58 | $58 | $10 | 16% | 50–59 | $49 – $68 |
| 5 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 3 | $109 | $175 | $102 | 58% | 42 | $98 – $318 |
| 6 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $104 | $107 | $57 | 53% | 38–110 | $39 – $178 |
| 7 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 3 | $109 | $171 | $105 | 62% | 24 | $84 – $318 |
| 8 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 9 | $243 | $212 | $57 | 27% | 22–49 | $116 – $257 |
| 9 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 12 | $328 | $288 | $67 | 23% | 20–56 | $172 – $335 |
| 10 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $205 | $205 | $20 | 10% | 13–22 | $185 – $225 |
| 11 | Fairview Health Services Wyoming, MN other · inpatient | 3 | $106 | $128 | $35 | 27% | 12–120 | $100 – $178 |
| 12 | Fairview Health Services Edina, MN other · inpatient | 1 | $149 | $149 | — | — | 11 | $149 – $149 |
| 13 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 2 | $124 | $124 | $26 | 21% | 6–60 | $98 – $151 |
| 14 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $148 | $185 | $80 | 43% | 6–60 | $117 – $377 |
| 15 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 2 | $124 | $124 | $26 | 21% | 6–60 | $98 – $151 |
| 16 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $148 | $185 | $80 | 43% | 6–60 | $117 – $377 |
| 17 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $104 | $104 | — | — | 4–40 | $104 – $104 |
| 18 | Fairview Health Services Princeton, MN other · inpatient | 1 | $157 | $157 | — | — | 4–40 | $157 – $157 |
| 19 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $144 | $144 | — | — | 4–40 | $144 – $144 |
| 20 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $283 | $314 | $45 | 14% | 3–30 | $282 – $377 |
| 21 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 7 | $248 | $229 | $42 | 18% | 3–30 | $136 – $257 |
| 22 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $283 | $314 | $45 | 14% | 3–30 | $282 – $377 |
| 23 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $231 | $233 | $4 | 2% | 3–30 | $230 – $238 |
| 24 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 2 | $247 | $247 | $24 | 10% | 2–20 | $223 – $271 |
| 25 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 2 | $295 | $295 | $25 | 9% | 2–20 | $269 – $320 |
← Payers reporting CPT 97162 · Snapshot 20261111T120946Z-9134e7f7