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
$166
Median
$132
High
$2.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
777 hospitals; the 90th percentile is 3.7× 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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1,049 hospital rates
iThe hospitals that file a Molina 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 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $61 | $72 | $32 | 44% | 114 | $40 – $108 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $184 | $15 | 8% | 103 | $158 – $192 |
| 3 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $106 | $94 | $20 | 21% | 74 | $60 – $106 |
| 4 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $103 | $103 | — | — | 40 | $103 – $103 |
| 5 | Upstate University Hospital Syracuse, NY facility · case rate · outpatient | 2 | $245 | $245 | $91 | 37% | 25–61 | $154 – $336 |
| 6 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $148 | $148 | — | — | 22 | $148 – $148 |
| 7 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $119 | $119 | — | — | 19 | $119 – $119 |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $132 | $132 | $48 | 36% | 18 | $84 – $180 |
| 9 | Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $162 | $3 | 2% | 16 | $158 – $164 |
| 10 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $108 | $2 | 2% | 13 | $105 – $109 |
| 11 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $79 | $6 | 7% | 8–80 | $76 – $94 |
| 12 | Pekin Memorial Hospital Pekin, IL percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $162 | $3 | 2% | 4–40 | $158 – $164 |
| 13 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $190 | $190 | $21 | 11% | 2–20 | $169 – $211 |
| 14 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $65 | $65 | — | — | 2–20 | $65 – $65 |
| 15 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $65 | $65 | — | — | 2–20 | $65 – $65 |
| 16 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $249 | $249 | $10 | 4% | 2–20 | $239 – $258 |
| 17 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT case rate · outpatient | 2 | $249 | $249 | $10 | 4% | 2–20 | $239 – $258 |
| 18 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $286 | $286 | $22 | 8% | 2–20 | $265 – $308 |
| 19 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $137 | $137 | $2 | 1% | 2–20 | $135 – $139 |
| 20 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $106 | $106 | $11 | 11% | 2–20 | $94 – $117 |
| 21 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $211 | $211 | — | — | 2–20 | $211 – $211 |
| 22 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 1 | $92 | $92 | — | — | 2–20 | $92 – $92 |
| 23 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $231 | $210 | $33 | 16% | 2–20 | $157 – $231 |
| 24 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 25 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $107 | $107 | — | — | 1–10 | $107 – $107 |
← Payers reporting CPT 97163 · Snapshot 20261111T120946Z-9134e7f7