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
$27
Average
$2.3k
Median
$187
High
$4327.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2074 hospitals; the 90th percentile is 3.4× 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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3,879 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 2 | $42 | $42 | $26 | 61% | 4,108 | $16 – $67 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $94 | $94 | — | — | 861 | $94 – $94 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $123 | $110 | $19 | 17% | 842 | $83 – $125 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $116 | $105 | $18 | 17% | 842 | $79 – $119 |
| 5 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $103 | $103 | — | — | 765 | $103 – $103 |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $93 | $93 | — | — | 743 | $93 – $93 |
| 7 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | 707 | $92 – $92 |
| 8 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 23 | $269 | $280 | $54 | 19% | 665–836 | $269 – $538 |
| 9 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $213 | $206 | $83 | 40% | 612–630 | $95 – $305 |
| 10 | Spaulding Rehabilitation Hospital Boston Charlestown, MA fee schedule · outpatient | 1 | $109 | $109 | — | — | 513 | $109 – $109 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $210 | $210 | $161 | 77% | 500 | $49 – $370 |
| 12 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $90 | $109 | $27 | 24% | 476 | $90 – $147 |
| 13 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $90 | $109 | $27 | 24% | 476 | $90 – $147 |
| 14 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 2 | $127 | $127 | $33 | 26% | 460 | $94 – $160 |
| 15 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $1.0k | $1.0k | $807 | 80% | 448 | $199 – $1.8k |
| 16 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 3 | $293 | $233 | $93 | 40% | 414 | $101 – $305 |
| 17 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | 413 | $88 – $88 |
| 18 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | 413 | $88 – $88 |
| 19 | Wentworth Douglass Hospital Dover, NH fee schedule · both | 1 | $99 | $99 | — | — | 361 | $99 – $99 |
| 20 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $94 | $94 | — | — | 341 | $94 – $94 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $326 | $278 | $166 | 60% | 301 | $55 – $454 |
| 22 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $90 | $90 | — | — | 293 | $90 – $90 |
| 23 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $90 | $90 | — | — | 293 | $90 – $90 |
| 24 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $103 | $103 | — | — | 287 | $103 – $103 |
| 25 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 1 | $275 | $275 | — | — | 279 | $275 – $275 |
← Payers reporting CPT 97162 · Snapshot 20261112T124536Z-e251e855