Prgrmg dev eval icds ss ip (CPT 0575T)
0575T is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
83 of 2110 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Bristol Regional Medical Center | Bristol, TN | $16.95 | $113 | $35.41 | 0.5× |
| Holston Valley Medical Center | Kingsport, TN | $16.95 | $113 | $35.41 | 0.5× |
| Hawkins County Memorial Hospital | Rogersville, TN | $16.95 | $113 | $33.86 | 0.5× |
| Greeneville Community Hospital | Greeneville, TN | $16.95 | $113 | $34.83 | 0.5× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $18 | $90 | $35.33 | 0.5× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $18 | $90 | $35.65 | 0.5× |
| Piedmont Augusta | Augusta, GA | $22.68 | $75.60 | $32.71 | 0.7× |
| Piedmont McDuffie | Thomson, GA | $22.68 | $75.60 | $32.83 | 0.7× |
| University of Kansas Hospital | Kansas City, KS | $24.10 | $120.50 | $34.84 | 0.7× |
| Denver Health Medical Center | Denver, CO | $29.73 | $84.92 | $39.37 | 0.8× |
| Banner North Colorado Medical Center | Greeley, CO | $30 | $100 | $39.42 | 0.8× |
| JPS Health Network | Fort Worth, TX | $32.40 | $54 | $37.49 | 0.9× |
| Lee Memorial Hospital | Fort Myers, FL | $33.20 | $166 | $38.97 | 0.9× |
| Gulf Coast Medical Center | Fort Myers, FL | $33.20 | $166 | $38.97 | 0.9× |
| Cape Coral Hospital | Cape Coral, FL | $33.20 | $166 | $38.97 | 0.9× |
| Oklahoma Heart Hospital, LLC | Oklahoma City, OK | $34.65 | $99 | $35.89 | 1.0× |
| Oklahoma Heart Hospital South, LLC | Oklahoma City, OK | $34.65 | $99 | $35.89 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $37.43 | — | $38.97 | 1.0× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott and White Medical Center Irving | Irving, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott and White All Saints Medical Center | Fort Worth, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | $41.52 | $69.20 | $37.55 | 1.1× |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott & White Heart and Vascular Hospital | Dallas, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Regional Medical Center at Plano | Plano, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| The Heart Hospital Baylor Denton | Denton, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott and White Medical Center Mckinney | Mc Kinney, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott and White Medical Center Frisco at Pg | Frisco, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Baylor Scott and White The Heart Hospital Corinth | Denton, TX | $41.52 | $69.20 | $37.49 | 1.1× |
| Banner Wyoming Medical Center | Casper, WY | $42 | $100 | $38.13 | 1.1× |
| Wellstar West Georgia Medical Center | LaGrange, GA | $44.46 | $114 | $36.73 | 1.2× |
| Wellstar Spalding Medical Center | Griffin, GA | $44.46 | $114 | $37.43 | 1.2× |
| Wellstar MCG Health Medical Center | Augusta, GA | $44.46 | $114 | $32.71 | 1.4× |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | $44.46 | $114 | $37.91 | 1.2× |
| Wellstar Paulding Medical Center | Hiram, GA | $44.46 | $114 | $37.91 | 1.2× |
| Wellstar Cobb Medical Center | Austell, GA | $44.46 | $114 | $37.91 | 1.2× |
| Wellstar Douglas Medical Center | Douglasville, GA | $44.46 | $114 | $37.57 | 1.2× |
| Wellstar North Fulton Medical Center | Roswell, GA | $44.46 | $114 | $37.91 | 1.2× |
| Wellstar Sylvan Grove Medical Center | Jackson, GA | $44.46 | $114 | $37.43 | 1.2× |
| Griffin Hospital | Derby, CT | $44.58 | — | $44.74 | 1.0× |
| Banner - University Medical Center Phoenix | Phoenix, AZ | $45.42 | $155 | $39.83 | 1.1× |
| Valleywise Health Medical Center | Phoenix, AZ | $45.80 | — | $39.83 | 1.1× |
| Houston Methodist Baytown Hospital | Baytown, TX | $50.50 | $101 | $37.49 | 1.3× |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | $50.50 | $101 | $37.49 | 1.3× |
| Houston Methodist Sugarland Hospital | Sugar Land, TX | $50.50 | $101 | $37.49 | 1.3× |
| Houston Methodist Willowbrook Hospital | Houston, TX | $50.50 | $101 | $37.49 | 1.3× |
| Houston Methodist West Hospital | Houston, TX | $50.50 | $101 | $37.49 | 1.3× |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | $50.50 | $101 | $37.49 | 1.3× |
| Houston Methodist Cypress Hospital | Cypress, TX | $50.50 | $101 | $37.49 | 1.3× |
| Nebraska Medical Center | Omaha, NE | $58.50 | $90 | $38.75 | 1.5× |
| Bellevue Medical Center | Bellevue, NE | $58.50 | $90 | $38.75 | 1.5× |
| Bradley Medical Center | Cleveland, TN | $68.40 | $114 | $34.18 | 2.0× |
| Hamilton Medical Center | Dalton, GA | $68.40 | $114 | $37.91 | 1.8× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $71.34 | $246 | $35.64 | 2.0× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $71.34 | $246 | $35.43 | 2.0× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $71.34 | $246 | $35.81 | 2.0× |
| UF Health Leesburg Hospital | Leesburg, FL | $72.05 | $131 | $38.97 | 1.8× |
| Flagler Hospital | Saint Augustine, FL | $72.05 | $131 | $38.97 | 1.8× |
| UF Health Shands Hospital | Gainesville, FL | $72.05 | $131 | $38.97 | 1.8× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $72.05 | $131 | $38.97 | 1.8× |
| Norman Regional | Norman, OK | $81 | $135 | $35.89 | 2.3× |
| Emory University Hospital | Atlanta, GA | $86 | $86 | $37.43 | 2.3× |
| Emory Decatur Hospital | Decatur, GA | $86 | $86 | $37.43 | 2.3× |
| Emory University Hospital Midtown | Atlanta, GA | $86 | $86 | $37.91 | 2.3× |
| Emory Saint Joseph's Hospital | Atlanta, GA | $86 | $86 | $37.91 | 2.3× |
| Emory Hillandale Hospital | Lithonia, GA | $86 | $86 | $37.43 | 2.3× |
| Emory Johns Creek Hospital | Johns Creek, GA | $86 | $86 | $37.91 | 2.3× |
| Mayo Clinic Hospital in Florida | Jacksonville, FL | $94.25 | $145 | $38.97 | 2.4× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $99.45 | $117 | $37.38 | 2.7× |
| MedStar Washington Hospital Center | Washington, DC | $107.04 | $164.68 | $44.09 | 2.4× |
| Vanderbilt University Hospital | Nashville, TN | $132.84 | $246 | $36.64 | 3.6× |
| Terrebonne General Health System | Houma, LA | $180.09 | $243.26 | $33.79 | 5.3× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $186 | $300 | $38.97 | 4.8× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $186 | $300 | $38.97 | 4.8× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $186 | $300 | $38.97 | 4.8× |
| Hill Country Memorial Hospital | Fredericksburg, TX | $279.84 | $279.84 | $37.49 | 7.5× |
| Methodist Hospital Stone Oak | San Antonio, TX | $279.84 | $279.84 | $37.49 | 7.5× |
| Children's Hospital Colorado | Aurora, CO | $912.60 | $1,404 | $39.37 | 23.2× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $912.60 | $1,404 | $39.37 | 23.2× |
| Tampa General Hospital | Tampa, FL | $5,942.30 | $16,978 | $38.97 | 152.5× |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.