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
HC OT EVAL HIGH COMPLEX 60 MIN
Low
$1
Average
$172
Median
$136
High
$2.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
763 hospitals; the 90th percentile is 3.6× 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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1,027 hospital rates
iThe hospitals that file a Molina 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 Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $192 | $177 | $21 | 12% | 49 | $142 – $192 |
| 2 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $64 | $75 | $33 | 44% | 29 | $41 – $111 |
| 3 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $105 | $105 | — | — | 20 | $105 – $105 |
| 4 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | 4–40 | $109 – $109 |
| 5 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $64 | $22 | 34% | 4–40 | $34 – $92 |
| 6 | Upstate University Hospital Syracuse, NY facility · case rate · outpatient | 2 | $220 | $220 | $82 | 37% | 4–40 | $138 – $302 |
| 7 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $65 | $65 | — | — | 2–20 | $65 – $65 |
| 8 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $65 | $65 | — | — | 2–20 | $65 – $65 |
| 9 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $249 | $249 | $10 | 4% | 2–20 | $239 – $258 |
| 10 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT case rate · outpatient | 2 | $249 | $249 | $10 | 4% | 2–20 | $239 – $258 |
| 11 | Knapp Medical Center Weslaco, TX percent of total billed charges · outpatientfrom % of charges | 2 | $75 | $75 | $2 | 2% | 2–20 | $73 – $76 |
| 12 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $226 | $226 | $2 | 1% | 2–20 | $224 – $228 |
| 13 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $237 | $205 | $38 | 19% | 2–20 | $159 – $237 |
| 14 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 15 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $148 | $148 | — | — | 1–10 | $148 – $148 |
| 16 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 19 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 20 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 21 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $217 | $217 | $24 | 11% | 1–10 | $193 – $241 |
| 22 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $95 | — | — | 1–10 | $95 – $95 |
| 23 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 24 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $311 | $311 | — | — | 1–10 | $311 – $311 |
| 25 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $135 | $135 | $49 | 36% | 1–10 | $86 – $184 |
← Payers reporting CPT 97167 · Snapshot 20261111T120946Z-9134e7f7