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 CARE
Low
$12
Average
$2.3k
Median
$132
High
$4327.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2010 hospitals; the 90th percentile is 4.1× 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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3,717 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $70 | $70 | — | — | 709 | $70 – $70 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · inpatient | 1 | $70 | $70 | — | — | 550 | $70 – $70 |
| 3 | Baystate Franklin Medical Center Greenfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $140 | $140 | — | — | 196 | $140 – $140 |
| 4 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $167 | $167 | $6 | 4% | 61 | $161 – $174 |
| 5 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $71 | $71 | — | — | 50 | $71 – $71 |
| 6 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $65 | $65 | — | — | 45 | $65 – $65 |
| 7 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX other · outpatient | 1 | $76 | $76 | — | — | 44 | $76 – $76 |
| 8 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $236 | $236 | — | — | 41 | $236 – $236 |
| 9 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 3 | $157 | $134 | $46 | 34% | 40 | $70 – $176 |
| 10 | East Liverpool City Hospital Liverpool, OH percent of total billed charges · outpatientfrom % of charges | 1 | $249 | $249 | — | — | 35 | $249 – $249 |
| 11 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ other · outpatient | 1 | $73 | $73 | — | — | 31 | $73 – $73 |
| 12 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ other · outpatient | 1 | $73 | $73 | — | — | 31 | $73 – $73 |
| 13 | Alton Memorial Hospital Alton, IL fee schedule · both | 1 | $65 | $65 | — | — | 30 | $65 – $65 |
| 14 | STONEWALL JACKSON HOSPITAL Weston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $430 | $430 | — | — | 30 | $430 – $430 |
| 15 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $65 | $65 | — | — | 27 | $65 – $65 |
| 16 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $64 | $71 | $43 | 60% | 24–51 | $27 – $156 |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $64 | $64 | — | — | 22 | $64 – $64 |
| 18 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 21 | $76 – $76 |
| 19 | Holy Family Memorial Inc Manitowoc, WI other · inpatient | 2 | $64 | $64 | $1 | 2% | 20–29 | $63 – $66 |
| 20 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 3 | $76 | $92 | $33 | 37% | 19–37 | $61 – $138 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $102 | $102 | $78 | 77% | 19 | $24 – $180 |
| 22 | Methodist Hospitals of Dallas Mansfield, TX fee schedule · both | 5 | $68 | $69 | $2 | 3% | 18–27 | $68 – $73 |
| 23 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $148 | $148 | $39 | 26% | 18–36 | $109 – $186 |
| 24 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 2 | $61 | $61 | — | — | 17 | $61 – $61 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 2 | $68 | $68 | $0 | 1% | 16–25 | $68 – $68 |
← Payers reporting CPT 97164 · Snapshot 20261112T181611Z-3fa9fb76