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
$27
Average
$237
Median
$208
High
$696
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 9.1× 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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63 hospital rates
iThe hospitals that file a MultiPlan 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 3 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 2 | $65 | $65 | $6 | 10% | — | $59 – $72 |
| 4 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 5 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 2 | $65 | $65 | $6 | 10% | — | $59 – $72 |
| 6 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 7 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 8 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · inpatient | 1 | $29 | $29 | $8 | 29% | — | $21 – $38 |
| 9 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $29 | $29 | $8 | 29% | — | $21 – $38 |
| 10 | DIGNITY HEALTH Gilbert, AZ fee schedule · inpatient | 1 | $27 | $27 | $8 | 29% | — | $19 – $35 |
| 11 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 1 | $27 | $27 | $8 | 29% | — | $19 – $35 |
| 12 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 13 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 14 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 15 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · inpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 16 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 17 | LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO fee schedule · outpatient | 2 | $65 | $65 | $6 | 10% | — | $59 – $72 |
| 18 | MENORAH MEDICAL CENTER Overland Park, KS fee schedule · outpatient | 2 | $65 | $65 | $6 | 10% | — | $59 – $72 |
| 19 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 20 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $190 | $66 | 35% | — | $81 – $294 |
| 21 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $229 | $227 | $84 | 37% | — | $92 – $346 |
| 22 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $183 | $82 | 45% | — | $102 – $394 |
| 23 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $183 | $82 | 45% | — | $102 – $394 |
| 24 | NYU Langone New York, NY percent of total billed charges · bothfrom % of charges | 47 | $696 | $696 | — | — | — | $696 – $696 |
| 25 | NYU Langone Mineola, NY percent of total billed charges · bothfrom % of charges | 47 | $696 | $696 | — | — | — | $696 – $696 |
← Payers reporting CPT 97169 · Snapshot 20261113T090226Z-3ce6c0b8