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
$3
Average
$272
Median
$178
High
$8.9k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1328 hospitals; the 90th percentile is 4.0× 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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2,092 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 3 | $82 | $82 | — | — | 318 | $82 – $82 |
| 2 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $116 | $111 | $19 | 17% | 296 | $80 – $130 |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 4 | $110 | $105 | $18 | 17% | 296 | $76 – $123 |
| 4 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $207 | $207 | $113 | 54% | 235 | $95 – $320 |
| 5 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | — | — | 200 | $180 – $180 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $454 | $454 | — | — | 140–149 | $454 – $454 |
| 7 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 4 | $175 | $167 | $28 | 17% | 114 | $122 – $195 |
| 8 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $82 | $82 | — | — | 106 | $82 – $82 |
| 9 | Baystate Noble Hospital Westfield, MA percent of total billed charges · bothfrom % of charges | 3 | $82 | $82 | — | — | 96 | $82 – $82 |
| 10 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $410 | $361 | $64 | 18% | 94 | $249 – $410 |
| 11 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $332 | $332 | — | — | 74 | $332 – $332 |
| 12 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $688 | $688 | $21 | 3% | 69 | $667 – $709 |
| 13 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 11 | $194 | $193 | $1 | 0% | 54–108 | $192 – $194 |
| 14 | ROBERT PACKER HOSPITAL Sayre, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $39 | $39 | — | — | 53 | $39 – $39 |
| 15 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $98 | $98 | — | — | 50 | $98 – $98 |
| 16 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $229 | $229 | — | — | 38 | $229 – $229 |
| 17 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $234 | $234 | $11 | 5% | 34–52 | $223 – $246 |
| 18 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $308 | $274 | $87 | 32% | 34–52 | $71 – $332 |
| 19 | Cape Fear Valley - Hoke Hospital Raeford, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | — | — | 33 | $224 – $224 |
| 20 | Baystate Noble Hospital Westfield, MA fee schedule · both | 1 | $82 | $82 | — | — | 32 | $82 – $82 |
| 21 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 2 | $391 | $391 | $1 | 0% | 32 | $390 – $391 |
| 22 | Northfield Hospital Northfield, MN other · both | 1 | $328 | $328 | — | — | 30 | $328 – $328 |
| 23 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 3 | $126 | $166 | $56 | 34% | 30 | $126 – $245 |
| 24 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 3 | $126 | $166 | $56 | 34% | 30 | $126 – $245 |
| 25 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | — | — | 27 | $180 – $180 |
← Payers reporting CPT 97166 · Snapshot 20261111T120946Z-9134e7f7