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 RE-EVAL EST PLAN OF CARE
Low
$1
Average
$2.1k
Median
$123
High
$3959.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2064 hospitals; the 90th percentile is 4.0× 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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3,687 hospital rates
iThe hospitals that file a Aetna 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 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $140 | $140 | — | — | 196 | $140 – $140 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $242 | $247 | $60 | 24% | 114 | $159 – $346 |
| 3 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $243 | $243 | — | — | 49 | $243 – $243 |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $89 | $115 | $60 | 52% | 44 | $65 – $233 |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $84 | $109 | $57 | 52% | 44 | $61 – $220 |
| 6 | Robert Wood Johnson University Hospital Rahway Rahway, NJ percent of total billed charges · outpatientfrom % of charges | 3 | $221 | $167 | $84 | 50% | 39–57 | $49 – $232 |
| 7 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $71 | $71 | — | — | 32 | $71 – $71 |
| 8 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $309 | $309 | — | — | 18 | $309 – $309 |
| 9 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $309 | $309 | — | — | 18 | $309 – $309 |
| 10 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $309 | $309 | — | — | 18 | $309 – $309 |
| 11 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | 15 | $119 – $119 |
| 12 | Connecticut Children's Hartford, CT per diem · outpatient | 2 | $268 | $268 | $14 | 5% | 14–23 | $254 – $282 |
| 13 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $15.4k | $15.4k | — | — | 14 | $15.4k – $15.4k |
| 14 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $71 | $71 | — | — | 13 | $71 – $71 |
| 15 | Northern Cochise Community Hospital Willcox, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $89 | $89 | $1 | 2% | 13 | $88 – $91 |
| 16 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ fee schedule · outpatient | 2 | $75 | $75 | — | — | 13 | $75 – $75 |
| 17 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ fee schedule · outpatient | 2 | $75 | $75 | — | — | 13 | $75 – $75 |
| 18 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | 12 | $207 – $207 |
| 19 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 2 | $119 | $119 | $13 | 11% | 12 | $106 – $133 |
| 20 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $133 | — | — | 12 | $133 – $133 |
| 21 | Holy Redeemer Health System Meadowbrook, PA facility · other · outpatient | 1 | $85 | $85 | — | — | 11 | $85 – $85 |
| 22 | Deaconess Health System Henderson Hospital Henderson, KY facility · other · inpatient | 1 | $63 | $63 | — | — | 9–90 | $63 – $63 |
| 23 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $242 | $230 | $30 | 13% | 8–80 | $175 – $261 |
| 24 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $41 | $41 | — | — | 8–80 | $41 – $41 |
| 25 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 5 | $218 | $231 | $152 | 66% | 8–80 | $21 – $522 |
← Payers reporting CPT 97164 · Snapshot 20261111T120946Z-9134e7f7