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
$0
Average
$243
Median
$185
High
$14.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1987 hospitals; the 90th percentile is 3.5× 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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3,698 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | East Carolina Health-Chowan, Inc. Edenton, NC percent of total billed charges · bothfrom % of charges | 8 | $299 | $265 | $59 | 22% | 514 | $163 – $299 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 2 | $128 | $128 | $32 | 25% | 272 | $96 – $160 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | $136 | 77% | 232 | $41 – $313 |
| 4 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $95 | $95 | — | — | 212 | $95 – $95 |
| 5 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $105 | $105 | — | — | 174 | $105 – $105 |
| 6 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $94 | $94 | — | — | 159 | $94 – $94 |
| 7 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $96 | $96 | — | — | 158 | $96 – $96 |
| 8 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | 143 | $95 – $95 |
| 9 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | 143 | $95 – $95 |
| 10 | Methodist Hospital St. Louis Park, MN facility · fee schedule · both | 2 | $100 | $100 | $6 | 6% | 131 | $94 – $107 |
| 11 | Duke Regional Hospital Durham, NC facility · fee schedule · outpatient | 1 | $98 | $98 | — | — | 124 | $98 – $98 |
| 12 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $365 | $365 | $13 | 4% | 119 | $351 – $378 |
| 13 | The University of Texas Medical Branch Webster, TX fee schedule · both | 1 | $101 | $101 | — | — | 108 | $101 – $101 |
| 14 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $82 | $82 | — | — | 106 | $82 – $82 |
| 15 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $275 | $235 | $141 | 60% | 105 | $47 – $384 |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 3 | $181 | $199 | $91 | 46% | 98–116 | $98 – $319 |
| 17 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $29.7k | $29.7k | — | — | 98 | $29.7k – $29.7k |
| 18 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $130 | $117 | $21 | 17% | 89 | $88 – $133 |
| 19 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $123 | $111 | $19 | 17% | 89 | $84 – $126 |
| 20 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $97 | $97 | — | — | 88 | $97 – $97 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 3 | $163 | $135 | $56 | 41% | 82 | $57 – $185 |
| 22 | MVHS, Inc. Utica, NY fee schedule · outpatient | 1 | $99 | $99 | — | — | 81 | $99 – $99 |
| 23 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $92 | $112 | $27 | 24% | 75 | $92 – $150 |
| 24 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $92 | $112 | $27 | 24% | 75 | $92 – $150 |
| 25 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 1 | $275 | $275 | — | — | 71 | $275 – $275 |
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