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
OT RE-EVAL EST PLAN CARE
Low
$3
Average
$180
Median
$130
High
$28.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1938 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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3,529 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 · inpatient | 1 | $70 | $70 | — | — | 1,264 | $70 – $70 |
| 2 | North Arkansas Regional Medical Center Harrison, AR fee schedule · outpatient | 1 | $70 | $70 | — | — | 550 | $70 – $70 |
| 3 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $71 | $71 | — | — | 26 | $71 – $71 |
| 4 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $15.7k | $15.7k | — | — | 21 | $15.7k – $15.7k |
| 5 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $222 | $222 | — | — | 18–180 | $222 – $222 |
| 6 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $222 | $222 | — | — | 18–180 | $222 – $222 |
| 7 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ other · outpatient | 1 | $75 | $75 | — | — | 17 | $75 – $75 |
| 8 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ other · outpatient | 1 | $75 | $75 | — | — | 17 | $75 – $75 |
| 9 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 4 | $195 | $237 | $145 | 61% | 16–160 | $40 – $564 |
| 10 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $64 | $64 | — | — | 16–160 | $64 – $64 |
| 11 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $63 | $76 | $19 | 25% | 16–160 | $63 – $104 |
| 12 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $63 | $76 | $19 | 25% | 16–160 | $63 – $104 |
| 13 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $192 | $192 | $7 | 4% | 13 | $185 – $199 |
| 14 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | 6–60 | $332 – $332 |
| 15 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | 6–60 | $332 – $332 |
| 16 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | 6–60 | $332 – $332 |
| 17 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $241 | $177 | $74 | 42% | 5–50 | $91 – $241 |
| 18 | ST HELENA HOSPITAL Vallejo, CA percent of total billed charges · outpatientfrom % of charges | 5 | $191 | $206 | $31 | 15% | 5–50 | $169 – $243 |
| 19 | Benson Hospital Corporation Benson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 2 | $64 | $78 | $48 | 61% | 4–40 | $27 – $156 |
| 20 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $70 | $70 | $3 | 4% | 4–40 | $67 – $74 |
| 21 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 4 | $163 | $163 | — | — | 4–40 | $163 – $163 |
| 22 | East Liverpool City Hospital Liverpool, OH percent of total billed charges · outpatientfrom % of charges | 1 | $246 | $246 | — | — | 3–30 | $246 – $246 |
| 23 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $93 | $83 | $15 | 17% | 3–30 | $63 – $95 |
| 24 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $88 | $79 | $14 | 17% | 3–30 | $59 – $89 |
| 25 | Hospital Authority of Colquitt County Moultrie, GA percent of total billed charges · bothfrom % of charges | 1 | $193 | $193 | $6 | 3% | 2–20 | $187 – $199 |
← Payers reporting CPT 97168 · Snapshot 20261112T181611Z-3fa9fb76