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
$1
Average
$2.7k
Median
$254
High
$3927.3k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1628 hospitals; the 90th percentile is 4.3× 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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2,399 hospital rates
iThe hospitals that file a Cigna 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 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $311 | $324 | $43 | 13% | 62–71 | $280 – $395 |
| 2 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 1 | $178 | $178 | — | — | 54 | $178 – $178 |
| 3 | Baystate Franklin Medical Center Greenfield, MA facility · case rate · both | 1 | $181 | $181 | — | — | 50 | $181 – $181 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 3 | $343 | $343 | — | — | 23–41 | $343 – $343 |
| 5 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $485 | $485 | — | — | 17–170 | $485 – $485 |
| 6 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $485 | $485 | — | — | 17–170 | $485 – $485 |
| 7 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $451 | $451 | — | — | 17 | $451 – $451 |
| 8 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 2 | $126 | $126 | $28 | 22% | 13–22 | $98 – $154 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN percent of total billed charges · bothfrom % of charges | 2 | $586 | $586 | $201 | 34% | 11 | $370 – $863 |
| 10 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $388 | $426 | $137 | 32% | 10–100 | $228 – $703 |
| 11 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $388 | $426 | $137 | 32% | 10–100 | $228 – $703 |
| 12 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $92 | $92 | — | — | 8–80 | $92 – $92 |
| 13 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $500 | $477 | $39 | 8% | 8–80 | $410 – $500 |
| 14 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 1 | $96 | $96 | — | — | 4–40 | $96 – $96 |
| 15 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 3 | $337 | $301 | $57 | 19% | 3–30 | $220 – $345 |
| 16 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | 3–30 | $408 – $408 |
| 17 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $306 | $306 | $4 | 1% | 2–20 | $302 – $309 |
| 18 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $249 | $249 | $51 | 21% | 2–20 | $198 – $300 |
| 19 | Baystate Medical Center Springfield, MA case rate · both | 1 | $166 | $166 | — | — | 2–20 | $166 – $166 |
| 20 | Baystate Noble Hospital Westfield, MA other · both | 1 | $204 | $204 | — | — | 2–20 | $204 – $204 |
| 21 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $266 | $266 | — | — | 2–20 | $266 – $266 |
| 22 | Carilion Franklin Memorial Hospital Mt, VA percent of total billed charges · outpatientfrom % of charges | 1 | $331 | $331 | $11 | 3% | 2–20 | $320 – $342 |
| 23 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN percent of total billed charges · bothfrom % of charges | 1 | $343 | $343 | — | — | 2–20 | $343 – $343 |
| 24 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN percent of total billed charges · bothfrom % of charges | 5 | $372 | $444 | $119 | 27% | 2–20 | $231 – $590 |
| 25 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges | 1 | $343 | $343 | — | — | 2–20 | $343 – $343 |
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