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
$11
Average
$194
Median
$117
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1323 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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2,075 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | 3 | $140 | $140 | — | — | 588 | $140 – $140 |
| 2 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $132 | $25 | 19% | 376 | $87 – $160 |
| 3 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $146 | $146 | $82 | 57% | 306 | $63 – $228 |
| 4 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $218 | $212 | $15 | 7% | 288 | $188 – $226 |
| 5 | Baystate Franklin Medical Center Greenfield, MA facility · fee schedule · both | 1 | $140 | $140 | — | — | 196 | $140 – $140 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $83 | $79 | $14 | 17% | 136 | $57 – $92 |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $78 | $74 | $13 | 17% | 136 | $54 – $87 |
| 8 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | 87 | $102 – $102 |
| 9 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $77 | $77 | — | — | 78 | $77 – $77 |
| 10 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $165 | $165 | — | — | 58 | $165 – $165 |
| 11 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | 55 | $102 – $102 |
| 12 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $248 | $248 | $33 | 13% | 20 | $215 – $280 |
| 13 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $399 | $399 | — | — | 16 | $399 – $399 |
| 14 | Northfield Hospital Northfield, MN other · both | 1 | $166 | $166 | — | — | 15 | $166 – $166 |
| 15 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $333 | $333 | — | — | 12–21 | $333 – $333 |
| 16 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 1 | $72 | $72 | — | — | 12 | $72 – $72 |
| 17 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $55 | $55 | — | — | 6–60 | $55 – $55 |
| 18 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 3 | $259 | $259 | — | — | 6–60 | $259 – $259 |
| 19 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | 5–50 | $102 – $102 |
| 20 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | 4–40 | $102 – $102 |
| 21 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 2 | $91 | $91 | $25 | 28% | 4–40 | $66 – $117 |
| 22 | WRMC Hospital Operating Corporation North Wilkesboro, NC percent of total billed charges · outpatientfrom % of charges | 4 | $62 | $60 | $5 | 9% | 4–40 | $51 – $65 |
| 23 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $179 | $198 | $84 | 43% | 3–30 | $100 – $333 |
| 24 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $40 | $16 | 39% | 3–30 | $27 – $62 |
| 25 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $118 | $112 | $19 | 17% | 3–30 | $82 – $131 |
← Payers reporting CPT 97164 · Snapshot 20261111T120946Z-9134e7f7