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
$313
Median
$244
High
$29.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1624 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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2,368 hospital rates
iThe hospitals that file a Cigna 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 case rate · both | 1 | $166 | $166 | — | — | 106 | $166 – $166 |
| 2 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 1 | $178 | $178 | — | — | 88 | $178 – $178 |
| 3 | NATIONAL JEWISH HEALTH GOLDEN, CO percent of total billed charges · bothfrom % of charges | 2 | $138 | $138 | $30 | 22% | 72 | $107 – $168 |
| 4 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $407 | $407 | — | — | 66 | $407 – $407 |
| 5 | Connecticut Children's Hartford, CT per diem · outpatient | 1 | $225 | $225 | — | — | 49 | $225 – $225 |
| 6 | UMass Memorial Health - Milford Regional Medical Center, Inc. Milford, MA percent of total billed charges · outpatientfrom % of charges | 2 | $272 | $272 | — | — | 36 | $272 – $272 |
| 7 | Baystate Noble Hospital Westfield, MA other · both | 1 | $204 | $204 | — | — | 32 | $204 – $204 |
| 8 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT case rate · outpatient | 1 | $210 | $210 | — | — | 29 | $210 – $210 |
| 9 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $29.7k | $29.7k | — | — | 20 | $29.7k – $29.7k |
| 10 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · per diem · outpatient | 1 | $164 | $164 | — | — | 16–160 | $164 – $164 |
| 11 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT percent of total billed charges · outpatientfrom % of charges | 1 | $167 | $167 | — | — | 16 | $167 – $167 |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges | 3 | $313 | $313 | $13 | 4% | 14 | $299 – $326 |
| 13 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT case rate · outpatient | 1 | $245 | $245 | — | — | 13 | $245 – $245 |
| 14 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 4 | $297 | $317 | $45 | 14% | 12 | $280 – $395 |
| 15 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $329 | $329 | — | — | 12 | $329 – $329 |
| 16 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $574 | $574 | — | — | 12 | $574 – $574 |
| 17 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $215 | $215 | — | — | 9–90 | $215 – $215 |
| 18 | Norton Hospitals INC Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $273 | $82 | 30% | 9–90 | $215 – $389 |
| 19 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $173 | $99 | 57% | 8–80 | $42 – $297 |
| 20 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $173 | $99 | 57% | 8–80 | $42 – $297 |
| 21 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $173 | $99 | 57% | 8–80 | $42 – $297 |
| 22 | Deaconess Health System Union County Hospital Morganfield, KY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $352 | $352 | — | — | 8–80 | $352 – $352 |
| 23 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $491 | $434 | $76 | 18% | 8–80 | $299 – $491 |
| 24 | Advocate Good Shepherd Hospital Barrington, IL percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $214 | $77 | 36% | 6–60 | $99 – $297 |
| 25 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $209 | $14 | 7% | 6–60 | $177 – $215 |
← Payers reporting CPT 97166 · Snapshot 20261111T120946Z-9134e7f7