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
Atc Eval Low Complexity
Low
$0
Average
$250
Median
$148
High
$13.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
317 hospitals; the 90th percentile is 6.8× 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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362 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 4 | $192 | $178 | $79 | 44% | 112 | $59 – $269 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $31 | $31 | — | — | — | $31 – $31 |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 4 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $164 | $138 | $41 | 30% | — | $79 – $170 |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 6 | $119 | $118 | $48 | 40% | — | $64 – $170 |
| 6 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 2 | $84 | $84 | $2 | 2% | — | $82 – $86 |
| 7 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $371 | $371 | — | — | — | $371 – $371 |
| 9 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $282 | $282 | $90 | 32% | — | $192 – $371 |
| 10 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 11 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 12 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $100 | $100 | $0 | 0% | — | $100 – $100 |
| 13 | Ascension Cedar Park Park, TX fee schedule · both | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 14 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 15 | Ascension Seton Austin, TX fee schedule · both | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 16 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 17 | Ascension Seton Austin, TX fee schedule · both | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 18 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 19 | Ascension Seton Austin, TX fee schedule · both | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 20 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 21 | Ascension Seton Luling, TX fee schedule · both | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 22 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 23 | Ascension Seton Burnet, TX fee schedule · both | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 24 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 25 | Ascension Seton Smithville, TX fee schedule · both | 2 | $123 | $123 | — | — | — | $123 – $123 |
← Payers reporting CPT 97169 · Snapshot 20261113T090226Z-3ce6c0b8