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
Pt Eval High Complex
Low
$91
Average
$1.1k
Median
$245
High
$19.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 payers; the 90th percentile is 14.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mt percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $260 | $260 | $3 | 1% | 396 | $259 – $265 |
| 2 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 603 | $98 | $129 | $95 | 74% | 223–304 | $1 – $1.1k |
| 3 | Aetna fee schedule · outpatient · +36 other terms | 643 | $102 | $213 | $146 | 69% | 80–134 | $1 – $2.0k |
| 4 | Cigna fee schedule · outpatient · +32 other terms | 243 | $131 | $235 | $130 | 55% | 66–111 | $1 – $1.8k |
| 5 | Bcbs In fee schedule · both | 11 | $188 | $188 | $1 | 0% | 61–133 | $187 – $189 |
| 6 | Molina fee schedule · outpatient · +30 other terms | 225 | $132 | $132 | $57 | 43% | 18 | $1 – $497 |
| 7 | Humana fee schedule · outpatient · +33 other terms | 441 | $96 | $131 | $130 | 99% | 8–80 | $1 – $806 |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 482 | $143 | $213 | $126 | 59% | 6–60 | $1 – $1.5k |
| 9 | WellCare fee schedule · outpatient · +24 other terms | 277 | $95 | $96 | $12 | 13% | 5–50 | $38 – $258 |
| 10 | Anthem fee schedule · outpatient · +33 other terms | 179 | $104 | $113 | $101 | 89% | 3–30 | $45 – $937 |
| 11 | Tricare facility · fee schedule · outpatient · +19 other terms | 115 | $94 | $97 | $34 | 35% | 2–20 | $79 – $333 |
| 12 | Kaiser fee schedule · outpatient · +23 other terms | 93 | $156 | $161 | $104 | 64% | 2–20 | $83 – $800 |
| 13 | Bcbs Tn facility · percent of total billed charges · outpatientfrom % of charges | 1 | $637 | $637 | — | — | 2–20 | $637 – $637 |
| 14 | Optum fee schedule · outpatient · +24 other terms | 60 | $99 | $126 | $61 | 48% | 1–10 | $84 – $363 |
| 15 | Wellmark facility · fee schedule · both · +22 other terms | 31 | $123 | $215 | $154 | 72% | 1–10 | $57 – $674 |
| 16 | Baylor Scott White Health Plan facility · fee schedule · both · +1 other terms | 1 | $142 | $142 | — | — | 1–10 | $142 – $142 |
| 17 | Devoted fee schedule · outpatient · +17 other terms | 170 | $92 | $92 | $7 | 7% | — | $81 – $107 |
| 18 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 133 | $97 | $94 | $6 | 7% | — | $84 – $113 |
| 19 | Ambetter facility · fee schedule · outpatient · +21 other terms | 99 | $166 | $149 | $40 | 27% | — | $98 – $303 |
| 20 | Caresource fee schedule · outpatient · +21 other terms | 87 | $105 | $156 | $54 | 34% | — | $1 – $372 |
| 21 | MultiPlan fee schedule · outpatient · +21 other terms | 70 | $225 | $263 | $193 | 73% | — | $90 – $1.1k |
| 22 | Oscar fee schedule · outpatient · +21 other terms | 70 | $117 | $126 | $59 | 47% | — | $1 – $270 |
| 23 | Amerihealth Caritas fee schedule · outpatient · +14 other terms | 64 | $90 | $96 | $24 | 25% | — | $47 – $166 |
| 24 | Medicaid facility · fee schedule · outpatient · +17 other terms | 63 | $89 | $93 | $21 | 23% | — | $22 – $199 |
| 25 | Medicare fee schedule · both · +16 other terms | 62 | $95 | $108 | $9 | 8% | — | $88 – $135 |
← Hospitals reporting CPT 97163 · Snapshot 20261111T120946Z-9134e7f7