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
$2.4k
Median
$160
High
$3503.2k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1621 hospitals; the 90th percentile is 4.2× 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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2,376 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 | Baystate Franklin Medical Center Greenfield, MA facility · case rate · both | 1 | $181 | $181 | — | — | 196 | $181 – $181 |
| 2 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | — | — | 31 | $187 – $187 |
| 3 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $202 | $202 | — | — | 25 | $202 – $202 |
| 4 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 1 | $178 | $178 | — | — | 20 | $178 – $178 |
| 5 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $192 | $198 | $26 | 13% | 20–29 | $167 – $239 |
| 6 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $192 | $198 | $26 | 13% | 20–29 | $167 – $239 |
| 7 | Northern Cochise Community Hospital Willcox, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $111 | $111 | $20 | 18% | 13 | $91 – $131 |
| 8 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $184 | $184 | — | — | 11 | $184 – $184 |
| 9 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $186 | $186 | — | — | 11 | $186 – $186 |
| 10 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $63 | $63 | — | — | 8–80 | $63 – $63 |
| 11 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $337 | $337 | — | — | 6–60 | $337 – $337 |
| 12 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $337 | $337 | — | — | 6–60 | $337 – $337 |
| 13 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $337 | $337 | — | — | 6–60 | $337 – $337 |
| 14 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $109 | $109 | — | — | 5–50 | $109 – $109 |
| 15 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $139 | $42 | 30% | 5–50 | $109 – $198 |
| 16 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 1 | $66 | $66 | — | — | 4–40 | $66 – $66 |
| 17 | STONEWALL JACKSON HOSPITAL Weston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $417 | $417 | — | — | 4–40 | $417 – $417 |
| 18 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $113 | $44 | 39% | 3–30 | $75 – $176 |
| 19 | East Liverpool City Hospital Liverpool, OH percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $252 | — | — | 3–30 | $252 – $252 |
| 20 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $191 | $244 | $75 | 31% | 2–20 | $191 – $350 |
| 21 | Baystate Medical Center Springfield, MA case rate · both | 1 | $166 | $166 | — | — | 2–20 | $166 – $166 |
| 22 | Baystate Wing Hospital Palmer, MA other · both | 1 | $196 | $196 | — | — | 2–20 | $196 – $196 |
| 23 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN percent of total billed charges · bothfrom % of charges | 2 | $276 | $286 | $22 | 8% | 2–20 | $266 – $322 |
| 24 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · bothfrom % of charges | 3 | $190 | $189 | $58 | 31% | 2–20 | $126 – $271 |
| 25 | Floyd Healthcare Management Inc Rome, GA percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | $11 | 14% | 2–20 | $69 – $91 |
← Payers reporting CPT 97164 · Snapshot 20261111T120946Z-9134e7f7