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
Psych Phys/Qhp Telephone Evaluation 21-30 Min
Low
$21
Average
$125
Median
$97
High
$377
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
17 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.
Filter by billing methodology
Filter by billing class
24 hospital rates
iThe hospitals that file a Tricare 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 8 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $311 | $377 | $115 | 30% | — | $311 – $576 |
| 9 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 10 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 11 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $21 | $21 | $4 | 19% | — | $17 – $25 |
| 12 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $230 | $262 | $50 | 19% | — | $230 – $341 |
| 13 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 14 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 15 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $117 | $117 | $18 | 16% | — | $98 – $135 |
| 16 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $110 | $110 | $17 | 16% | — | $92 – $127 |
| 17 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 18 | KAPLAN GENERAL HOSPITAL, INC ST, LA fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 19 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 20 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 21 | Ochsner American Legion Hospital, LLC Jennings, LA fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 22 | ST MARTIN HOSPITAL INC Breaux Bridge, LA percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 23 | San Juan Hospital Spanish Valley, UT professional · fee schedule · outpatient | 3 | $97 | $97 | — | — | — | $97 – $97 |
| 24 | University Hospital & Clinics, Inc. Lafayette, LA other · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
← Payers reporting CPT 99443 · Snapshot 20261112T181611Z-3fa9fb76