Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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HCPCS · across United States

97163 — Pt Eval High Complex 45 Min

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$208 National median
$112 – $340 IQR (p25 – p75)
3,175 hospitals filing
53 states
View hospital-by-hospital → Raw rate rows →
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 97163 (HCPCS), with interquartile range
StateMedianp25p75
DE$505$353$788
MD$478$240$705
AK$474$355$591
DC$364$140$434
WI$357$174$392
VI$325$312$354
NV$303$147$377
WA$299$197$422
ND$281$187$351
NJ$276$109$590
MN$271$190$275
CO$269$103$398
CT$258$180$369
AZ$252$118$365
WY$249$142$308
SD$244$199$299
OH$244$145$323
MA$243$153$447
MO$235$134$370
VT$234$131$308
IN$228$104$348
KY$226$107$339
ME$225$124$349
OK$220$151$299
NC$216$146$325
KS$211$130$344
ID$205$140$283
MI$204$101$254
OR$201$110$324
NE$197$148$295
TX$196$101$353
RI$195$117$324
IL$193$117$350
NY$193$121$306
IA$186$115$253
GA$182$99$438
MT$182$130$260
NH$179$106$307
PA$178$102$325
AR$177$117$305
CA$167$108$325
NM$158$132$208
FL$158$101$365
MS$155$91$208
WV$151$98$296
AL$150$94$261
HI$150$113$312
TN$141$94$277
UT$139$97$216
LA$117$91$248
VA$109$97$349
SC$102$94$257
PR$30$30$60
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State Median p25 p75 Min Max Hospitals Payers Rates
         
DE $505 $353 $788 $63 $1,731 6 51 251
MD $478 $240 $705 $87 $1,304 31 55 979
AK $474 $355 $591 $102 $1,271 9 44 109
DC $364 $140 $434 $84 $2,196 4 13 43
WI $357 $174 $392 $1 $2,136 104 649 9,140
VI $325 $312 $354 $295 $380 1 ⚠ thin data 6 6
NV $303 $147 $377 $13 $1,421 25 297 1,034
WA $299 $197 $422 $36 $2,882 62 301 2,671
ND $281 $187 $351 $45 $727 26 103 529
NJ $276 $109 $590 $14 $5,209 60 354 5,271
MN $271 $190 $275 $36 $948 89 475 6,937
CO $269 $103 $398 $2 $1,688 68 327 3,811
CT $258 $180 $369 $56 $774 24 69 590
AZ $252 $118 $365 $50 $978 52 156 1,531
WY $249 $142 $308 $70 $498 17 127 395
SD $244 $199 $299 $72 $566 38 99 1,305
OH $244 $145 $323 $30 $4,513 97 522 5,452
MA $243 $153 $447 $61 $856 48 494 2,423
MO $235 $134 $370 $10 $1,340 74 319 13,865
VT $234 $131 $308 $84 $600 9 54 278
IN $228 $104 $348 $11 $2,061 72 492 3,320
KY $226 $107 $339 $25 $1,198 61 210 2,292
ME $225 $124 $349 $50 $2,221 31 36 712
OK $220 $151 $299 $35 $738 87 324 9,891
NC $216 $146 $325 $7 $1,221 78 168 4,574
KS $211 $130 $344 $2 $4,546 101 495 5,336
ID $205 $140 $283 $75 $821 25 257 750
MI $204 $101 $254 $2 $1,533 90 701 5,160
OR $201 $110 $324 $50 $1,751 42 555 3,224
NE $197 $148 $295 $3 $4,780 69 171 1,689
TX $196 $101 $353 $12 $4,620 325 1,235 23,008
RI $195 $117 $324 $19 $563 10 33 295
IL $193 $117 $350 $3 $1,231 125 567 6,507
NY $193 $121 $306 $7 $3,724 114 476 7,737
IA $186 $115 $253 <$1 $870 89 269 2,788
GA $182 $99 $438 $1 $2,597 85 185 2,361
MT $182 $130 $260 $9 $621 33 373 1,067
NH $179 $106 $307 $49 $686 16 110 547
PA $178 $102 $325 $5 $2,725 102 215 4,215
AR $177 $117 $305 $43 $1,005 43 291 10,582
CA $167 $108 $325 $1 $4,000 182 1,388 8,892
NM $158 $132 $208 $18 $835 29 178 1,100
FL $158 $101 $365 $15 $7,570 147 501 10,269
MS $155 $91 $208 $1 $1,456 46 322 1,546
WV $151 $98 $296 $33 $591 11 56 438
AL $150 $94 $261 $9 $11,024 50 159 1,883
HI $150 $113 $312 $47 $1,866 15 31 309
TN $141 $94 $277 $21 $2,000 76 233 4,173
UT $139 $97 $216 $3 $442 21 101 769
LA $117 $91 $248 $3 $1,189 60 661 5,108
VA $109 $97 $349 $46 $7,446 55 122 1,934
SC $102 $94 $257 $29 $878 31 202 2,253
PR $30 $30 $60 $18 $110 3 18 54