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
$20
Average
$207
Median
$167
High
$814
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
107 hospitals; the 90th percentile is 3.2× 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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155 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $108 | $108 | — | — | 40 | $108 – $108 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 3 | $204 | $174 | $57 | 33% | 3–30 | $95 – $224 |
| 3 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $204 | $174 | $57 | 33% | 3–30 | $95 – $224 |
| 4 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $110 | $110 | — | — | 2–20 | $110 – $110 |
| 5 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $160 | $160 | $61 | 38% | 2–20 | $99 – $221 |
| 6 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $161 | $161 | — | — | 2–20 | $161 – $161 |
| 7 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $405 | $405 | — | — | 1–10 | $405 – $405 |
| 8 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $385 | $385 | — | — | 1–10 | $385 – $385 |
| 9 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $405 | $405 | — | — | 1–10 | $405 – $405 |
| 10 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $356 | $356 | — | — | 1–10 | $356 – $356 |
| 11 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 12 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $385 | $385 | — | — | 1–10 | $385 – $385 |
| 13 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 14 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 15 | Freeman Regional Health Svcs. Freeman, SD outpatient | 1 | $273 | $273 | — | — | 1–10 | $273 – $273 |
| 16 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · outpatientfrom % of charges | 1 | $287 | $287 | — | — | 1–10 | $287 – $287 |
| 17 | Sanford Aberdeen Medical Center Aberdeen, SD other · outpatient | 1 | $202 | $202 | — | — | 1–10 | $202 – $202 |
| 18 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 19 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $223 | $223 | $106 | 48% | 1–10 | $116 – $329 |
| 20 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $105 | $105 | $16 | 15% | — | $89 – $121 |
| 21 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $99 | $99 | $15 | 15% | — | $84 – $115 |
| 22 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 23 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $152 | $139 | $24 | 17% | — | $98 – $152 |
| 24 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $814 | $814 | — | — | — | $814 – $814 |
| 25 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $814 | $814 | — | — | — | $814 – $814 |
← Payers reporting CPT 97167 · Snapshot 20261111T120946Z-9134e7f7