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
$1
Average
$249
Median
$198
High
$29.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2067 hospitals; the 90th percentile is 3.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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3,711 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $105 | $105 | — | — | 184 | $105 – $105 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $227 | $227 | $186 | 82% | 148 | $41 – $413 |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $337 | $360 | $98 | 27% | 142 | $184 – $505 |
| 4 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $29.7k | $29.7k | — | — | 122 | $29.7k – $29.7k |
| 5 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $82 | $82 | — | — | 106 | $82 – $82 |
| 6 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $126 | $163 | $85 | 52% | 104 | $91 – $328 |
| 7 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $119 | $154 | $81 | 52% | 104 | $87 – $310 |
| 8 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $99 | $96 | $8 | 8% | 100 | $76 – $99 |
| 9 | UMass Memorial Health - Milford Regional Medical Center, Inc. Milford, MA percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $104 | — | — | 93 | $104 – $104 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $214 | $181 | $99 | 55% | 72 | $47 – $282 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 2 | $113 | $113 | $56 | 50% | 65 | $57 – $169 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 2 | $117 | $117 | $76 | 65% | 64 | $41 – $192 |
| 13 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $105 | $105 | — | — | 52 | $105 – $105 |
| 14 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $451 | $451 | — | — | 50 | $451 – $451 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 2 | $78 | $78 | $32 | 40% | 48 | $47 – $110 |
| 16 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $225 | $74 | 33% | 48 | $121 – $278 |
| 17 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 2 | $99 | $95 | $8 | 9% | 43 | $76 – $99 |
| 18 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $205 | $205 | $5 | 2% | 43–52 | $200 – $210 |
| 19 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $240 | $243 | $8 | 3% | 42 | $235 – $253 |
| 20 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $327 | $327 | $234 | 71% | 37 | $94 – $561 |
| 21 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $105 | $105 | — | — | 35 | $105 – $105 |
| 22 | Baystate Noble Hospital Westfield, MA percent of total billed charges · bothfrom % of charges | 1 | $82 | $82 | — | — | 32 | $82 – $82 |
| 23 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $104 | $104 | — | — | 32 | $104 – $104 |
| 24 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $301 | $301 | $0 | 0% | 32 | $300 – $301 |
| 25 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 1 | $283 | $283 | — | — | 31 | $283 – $283 |
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