RC 424

Physical Therapy Evaluation or Reevaluation

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.

Generation details were not recorded for this description.

Original text from hospital filings

HC PT EVAL LOW COMPLEX 20 MIN

Molina pricing summary

Low

Average

$143

Median

$107

High

$1.5k

Molina rate distribution

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697 hospital rates

#		Plans
1	St. Joseph Medical Center Bellingham, WA facility · other · outpatient	2	$106	$89	$21	24%	959	$42 – $106
2	The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges	1	$132	$149	$40	27%	916	$60 – $192
3	PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient	3	$61	$66	$31	47%	780–789	$28 – $108
4	HARTFORD HOSPITAL HARTFORD, CT other · outpatient	1	$103	$95	$14	14%	566–575	$71 – $103
5	HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient	2	$249	$249	$10	4%	413–449	$239 – $258
6	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient	2	$104	$122	$48	40%	361–379	$58 – $180
7	Self Regional Healthcare Greenwood, SC facility · other · outpatient	2	$94	$97	$18	19%	307–325	$62 – $117
8	Upstate University Hospital Syracuse, NY facility · case rate · outpatient	2	$178	$192	$83	43%	269–323	$92 – $336
9	Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both	2	$128	$131	$51	39%	261–333	$68 – $280
10	SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT case rate · outpatient	2	$217	$217	$9	4%	158–185	$208 – $225
11	HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT case rate · outpatient	2	$249	$249	$10	4%	148–175	$239 – $258
12	HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient	1	$103	$95	$14	14%	147–156	$71 – $103
13	PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient	1	$109	$110	$7	6%	135	$102 – $119
14	THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient	1	$103	$95	$14	14%	119–128	$71 – $103
15	Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges	1	$76	$74	$8	10%	99–162	$60 – $94
16	SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient	1	$103	$95	$14	14%	96–114	$71 – $103
17	Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges	1	$97	$87	$23	26%	93–138	$30 – $109
18	Adena Health System Chillicothe, OH facility · other · outpatient	1	$107	$107	—	—	92–101	$107 – $107
19	The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges	1	$72	$71	$19	27%	78–87	$43 – $95
20	Bexar County Hospital District San Antonio, TX other · outpatient	1	$142	$140	$7	5%	68	$132 – $148
21	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient	1	$196	$181	$27	15%	65–74	$134 – $196
22	Proctor Community Hospital Peoria, IL percent of total billed charges · outpatientfrom % of charges	1	$145	$131	$34	26%	55–82	$46 – $164
23	THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT case rate · outpatient	2	$198	$198	$8	4%	55–73	$190 – $205
24	THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient	1	$103	$95	$14	14%	53–62	$71 – $103
25	Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges	2	$91	$94	$21	23%	51–87	$48 – $129

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