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
PF ORAL EVALUATION PT < 3YRS
Pittsfield, ME
See all hospitals reporting HCPCS D0145 →Price type
Sebasticook Valley Health’s median price of $99 is 34% above the median hospital's median price ($74), higher than 70% of the 242 hospitals reporting HCPCS D0145. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Cigna commercial professional · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 2 | Aetna commercial professional · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Anthem commercial professional · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Anthem enhanced pathways professional · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 5 | UnitedHealthcare commercial professional · fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 6 | Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 7 | Anthem mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 8 | UnitedHealthcare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 9 | WellCare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 10 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 11 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 13 | Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 18 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 19 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
Last updated: Mar 30, 2026
See Oral evaluation for child under 3 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.