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 Low Complex
Bedford, MA
See all hospitals reporting CPT 97165 →Price type
Southcoast Hospitals Group, Inc.’s median price of $124 is 21% below the median hospital's median price ($155), higher than 37% of the 2,514 hospitals reporting CPT 97165. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Ri bcbs rhode island hmo [101050101] percent of total billed charges · outpatientfrom % of charges | $109.86 | $109.86 | $109.86 – $109.86 |
| 2 | Aetna aetna medicare managed care [101030101] fee schedule · outpatient | $112.30 | $112.30 | $112.30 – $112.30 |
| 3 | Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient | $112.30 | $112.30 | $112.30 – $112.30 |
| 4 | UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient | $112.30 | $112.30 | $112.30 – $112.30 |
| 5 | UnitedHealthcare united health one care [101031004] fee schedule · outpatient | $117.92 | $117.92 | $117.92 – $117.92 |
| 6 | Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges | $177.45 | $177.45 | $177.45 – $177.45 |
| 7 | Cigna cigna [100011201] percent of total billed charges · outpatientfrom % of charges | $179.63 | $179.63 | $179.63 – $179.63 |
| 8 | UnitedHealthcare united healthcare [101080105] per diem · outpatient | $183.00 | $183.00 | $183.00 – $183.00 |
| 9 | Bcbs Ma bcbs massachusetts hmo [101040122] fee schedule · outpatient | $205.79 | $205.79 | $205.79 – $205.79 |
| 10 | Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges | $207.75 | $207.75 | $207.75 – $207.75 |
| 11 | First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges | $207.75 | $207.75 | $207.75 – $207.75 |
Last updated: Dec 15, 2025
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