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
$196
Median
$138
High
$1.1k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
171 hospitals; the 90th percentile is 4.2× 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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232 hospital rates
iThe hospitals that file a Highmark 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 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 2 | $536 | $536 | $61 | 11% | 28 | $475 – $596 |
| 2 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $291 | $291 | — | — | 19 | $291 – $291 |
| 3 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $282 | $282 | — | — | 18 | $282 – $282 |
| 4 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $240 | $261 | $170 | 65% | 3–30 | $84 – $468 |
| 5 | Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $128 | $128 | $3 | 3% | 2–20 | $125 – $132 |
| 6 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $132 | $132 | $4 | 3% | 1–10 | $128 – $136 |
| 7 | City Hospital, Inc. Martinsburg, WV facility · other · outpatient | 3 | $97 | $96 | $7 | 7% | 1–10 | $75 – $98 |
| 8 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $98 | $92 | $10 | 11% | 1–10 | $75 – $98 |
| 9 | St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 1–10 | $73 – $73 |
| 10 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 5 | $94 | $87 | $15 | 17% | 1–10 | $61 – $98 |
| 11 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 4 | $97 | $84 | $17 | 20% | 1–10 | $61 – $98 |
| 12 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 10 | $98 | $118 | $42 | 35% | — | $73 – $181 |
| 13 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $90 | $90 | $1 | 2% | — | $85 – $90 |
| 14 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 20 | $90 | $103 | $26 | 25% | — | $47 – $161 |
| 15 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 16 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 4 | $93 | $94 | $6 | 6% | — | $87 – $102 |
| 17 | Armstrong County Memorial Hospital Kittanning, PA facility · other · outpatient | 4 | $228 | $205 | $51 | 25% | — | $117 – $246 |
| 18 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 19 | Boone Memorial Hospital Madison, WV other · both | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 20 | Broaddus Hospital Association Inc Philippi, WV facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 21 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 3 | $83 | $87 | $16 | 18% | — | $71 – $109 |
| 22 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 23 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $164 | $163 | $50 | 31% | — | $95 – $227 |
| 24 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $88 | $88 | — | — | — | $88 – $88 |
| 25 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $90 | $90 | $1 | 2% | — | $85 – $90 |
← Payers reporting CPT 97166 · Snapshot 20261111T120946Z-9134e7f7