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
$61
Average
$331
Median
$257
High
$2.9k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
97 hospitals; the 90th percentile is 2.7× 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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161 hospital rates
iThe hospitals that file a Medical Mutual 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 | The Toledo Hospital Maumee, OH facility · other · outpatient | 1 | $225 | $225 | — | — | 50 | $225 – $225 |
| 2 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $205 | $205 | — | — | 17 | $205 – $205 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $374 | $332 | $74 | 22% | 2–20 | $203 – $374 |
| 4 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $268 | $268 | $43 | 16% | 1–10 | $225 – $312 |
| 5 | East Liverpool City Hospital Liverpool, OH percent of total billed charges · outpatientfrom % of charges | 1 | $366 | $366 | — | — | 1–10 | $366 – $366 |
| 6 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 2 | $262 | $5.0k | $11.6k | 234% | 1–10 | $176 – $33.5k |
| 7 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $356 | $356 | — | — | 1–10 | $356 – $356 |
| 8 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 3 | $176 | $176 | $65 | 37% | 1–10 | $97 – $255 |
| 9 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 3 | $176 | $176 | $65 | 37% | 1–10 | $97 – $255 |
| 10 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $374 | $374 | — | — | — | $374 – $374 |
| 11 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 12 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 13 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 14 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 15 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 16 | Avita Ontario Hospital Ontario, OH per diem · both | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 17 | Avita Ontario Hospital Ontario, OH percent of total billed charges · bothfrom % of charges | 2 | $37 | $37 | $23 | 61% | — | $15 – $60 |
| 18 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 19 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 20 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 21 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 22 | Bucyrus Community Hospital Bucyrus, OH per diem · both | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 23 | Bucyrus Community Hospital Bucyrus, OH percent of total billed charges · bothfrom % of charges | 2 | $231 | $231 | $97 | 42% | — | $134 – $328 |
| 24 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 25 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $141 | $141 | — | — | — | $141 – $141 |
← Payers reporting CPT 97166 · Snapshot 20261111T120946Z-9134e7f7