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
$0
Average
$132
Median
$95
High
$1.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
314 hospitals; the 90th percentile is 1.6× 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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344 hospital rates
iThe hospitals that file a Tricare 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 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $93 | $93 | — | — | 61 | $93 – $93 |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $88 | $88 | — | — | 57 | $88 – $88 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 1 | $91 | $91 | — | — | 39 | $91 – $91 |
| 4 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | 34 | $95 – $95 |
| 5 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | 28 | $91 – $91 |
| 6 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $92 | $92 | $2 | 2% | 22–31 | $90 – $93 |
| 7 | Wentworth Douglass Hospital Dover, NH fee schedule · both | 1 | $99 | $99 | — | — | 22 | $99 – $99 |
| 8 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $153 | $153 | — | — | 2–20 | $153 – $153 |
| 9 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO fee schedule · outpatient | 1 | $101 | $101 | — | — | 2–20 | $101 – $101 |
| 10 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 1 | $91 | $91 | — | — | 2–20 | $91 – $91 |
| 11 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $594 | $594 | — | — | 1–10 | $594 – $594 |
| 12 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $429 | $429 | — | — | 1–10 | $429 – $429 |
| 13 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 1 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 14 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 15 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 9 | $93 | $88 | $8 | 9% | — | $74 – $93 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $88 | $88 | $7 | 8% | — | $81 – $95 |
| 17 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 18 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 19 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 20 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 21 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 22 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 23 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 24 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 25 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $94 | $94 | — | — | — | $94 – $94 |
← Payers reporting CPT 97162 · Snapshot 20261111T120946Z-9134e7f7