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
Ot Eval Mod Complex
Low
$88
Average
$263
Median
$224
High
$728
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 payers; the 90th percentile is 3.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +36 other terms | 595 | $100 | $138 | $179 | 130% | 359–422 | $1 – $5.3k |
| 2 | Molina fee schedule · outpatient · +31 other terms | 223 | $135 | $138 | $79 | 58% | 145–172 | $1 – $1.1k |
| 3 | Humana fee schedule · outpatient · +33 other terms | 432 | $99 | $132 | $146 | 110% | 57–93 | $1 – $1.8k |
| 4 | Anthem fee schedule · outpatient · +32 other terms | 172 | $103 | $120 | $111 | 93% | 55–64 | $42 – $994 |
| 5 | Bcbs In fee schedule · both | 11 | $193 | $193 | $1 | 0% | 35–143 | $192 – $194 |
| 6 | Aetna fee schedule · outpatient · +37 other terms | 637 | $103 | $202 | $136 | 68% | 32–77 | $1 – $1.3k |
| 7 | Tricare facility · fee schedule · outpatient · +19 other terms | 111 | $96 | $101 | $84 | 83% | 25 | $77 – $2.0k |
| 8 | Kaiser fee schedule · outpatient · +23 other terms | 92 | $151 | $190 | $227 | 120% | 24–33 | $83 – $2.9k |
| 9 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 477 | $146 | $225 | $147 | 65% | 19–28 | $1 – $2.6k |
| 10 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $99 | $99 | — | — | 17 | $99 – $99 |
| 11 | WellCare fee schedule · outpatient · +24 other terms | 272 | $98 | $98 | $11 | 11% | 14–32 | $39 – $151 |
| 12 | Cigna fee schedule · outpatient · +32 other terms | 237 | $134 | $207 | $118 | 57% | 12 | $56 – $1.8k |
| 13 | Bcbs Al facility · other · outpatient · +3 other terms | 5 | $38 | $39 | $9 | 24% | 2–20 | $22 – $48 |
| 14 | Optum fee schedule · outpatient · +22 other terms | 60 | $99 | $127 | $61 | 48% | 1–10 | $86 – $371 |
| 15 | Sanford Health Plan fee schedule · outpatient · +14 other terms | 15 | $99 | $121 | $51 | 42% | 1–10 | $99 – $273 |
| 16 | Devoted fee schedule · outpatient · +17 other terms | 169 | $95 | $94 | $7 | 7% | — | $83 – $107 |
| 17 | Cigna Healthspring fee schedule · outpatient · +9 other terms | 133 | $99 | $97 | $7 | 7% | — | $86 – $117 |
| 18 | Ambetter facility · fee schedule · outpatient · +21 other terms | 100 | $173 | $148 | $37 | 25% | — | $100 – $310 |
| 19 | Caresource fee schedule · outpatient · +20 other terms | 85 | $105 | $154 | $44 | 28% | — | $1 – $268 |
| 20 | MultiPlan fee schedule · outpatient · +20 other terms | 70 | $205 | $237 | $138 | 58% | — | $58 – $709 |
| 21 | Oscar fee schedule · outpatient · +18 other terms | 70 | $122 | $128 | $59 | 46% | — | $1 – $277 |
| 22 | Amerihealth Caritas fee schedule · outpatient · +13 other terms | 63 | $88 | $100 | $31 | 31% | — | $47 – $208 |
| 23 | Medicare fee schedule · both · +16 other terms | 60 | $97 | $111 | $10 | 9% | — | $90 – $139 |
| 24 | Medicaid facility · fee schedule · outpatient · +17 other terms | 57 | $89 | $93 | $18 | 20% | — | $24 – $219 |
| 25 | Aetna Better Health fee schedule · outpatient · +18 other terms | 53 | $76 | $95 | $39 | 41% | — | $52 – $261 |
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