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 - 4
Low
$26
Average
$342
Median
$195
High
$23.4k
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Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 536 hospitals; the 90th percentile is 3.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Connecticut Children's Hartford, CT | $345 | $362 | $129 | 36% | 85–193 | $223 – $573 |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN | $186 | $188 | $31 | 16% | 78 | $5 – $512 |
| 3 | Mercy Hospital Springfield Springfield, MO | $214 | $241 | $75 | 31% | 32–320 | $153 – $453 |
| 4 | Mercy Hospital Springfield Ozark, MO | $214 | $241 | $75 | 31% | 32–320 | $153 – $453 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN | $186 | $179 | $52 | 29% | 30–66 | $5 – $691 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN | $237 | $217 | $48 | 22% | 16–34 | $5 – $484 |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN | $186 | $189 | $26 | 14% | 16–52 | $5 – $731 |
| 8 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Vista, AR | $157 | $159 | $3 | 2% | 16–160 | $157 – $164 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN | $186 | $179 | $52 | 29% | 12 | $5 – $512 |
| 10 | Saint Luke’s East Hospital Summit, MO | $127 | $162 | $69 | 43% | 6–60 | $56 – $502 |
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