US Health Care Costs

Occupational therapy evaluation, low complexity

CPT 97165 · Therapy and mental health · hospital facility charge

At the 125 hospitals whose price files we have read so far, the typical cash price is $251, and most charge between $119 and $800 (the middle 80%; price files contain errors, so the extremes are left out). Pick a state to compare its hospitals.

Estimate what you would pay

$251typical cash price
$191typical commercial insurer rate
$470typical list price
125hospitals in 32 states so far
Typical cash price by state
AKMEWIVTNHWA$143ID$253MTNDMN$73IL$290MI$137NY$288MA$454OR$346NV$1.6kWYSDIA$309IN$100OH$232PA$205NJ$129CT$399RICA$265UT$242CONE$107MO$214KY$209WVVA$216MD$490DE$265AZ$438NMKSARTN$78NC$188SC$166DCOK$201LAMSAL$348GA$162HITX$580FL$407PR

Every state

StateHospitalsTypical cash priceLowest cashHighest cashTypical insurer price
Alabama1$348$348$348$194
Arizona2$438$133$744$165
California10$265$55$3,004$164
Connecticut1$399$399$399$210
Delaware1$265$265$265$417
Florida8$407$146$1,285$156
Georgia6$162$125$1,050$176
Iowa1$309$309$309$114
Idaho2$253$253$253$208
Illinois6$290$159$630$289
Indiana2$100$85$116$216
Kentucky2$209$135$283$224
Massachusetts3$454$389$454$441
Maryland1$490$490$490–
Michigan3$137$137$198$152
Minnesota1$73$73$73$224
Missouri4$214$91$338$231
North Carolina4$188$188$224$229
Nebraska1$107$107$107$198
New Jersey8$129$123$8,994$333
Nevada1$1,644$1,644$1,644$93
New York1$288$288$288$208
Ohio7$232$114$438$207
Oklahoma3$201$99$447$297
Oregon1$346$346$346$204
Pennsylvania8$205$119$542$143
South Carolina4$166$120$470$101
Tennessee2$78$78$78$208
Texas21$580$62$990$147
Utah2$242$224$260$254
Virginia6$216$216$914$101
Washington2$143$117$169$211
125 hospitals so far: only hospitals whose price files we've read are listed, and more are added every night. The price is the hospital's part; the doctor usually bills separately.

Common questions

How much does occupational therapy evaluation cost at a hospital?

At 120 hospitals that publish a cash price, the typical price for occupational therapy evaluation is $251, and most charge between $119 and $800. The typical rate commercial insurers have negotiated is $191. These are hospital prices; independent clinics, imaging centers and labs often charge less.

Is it cheaper to pay cash or use insurance for occupational therapy evaluation?

At 35 of the 105 hospitals that publish both, the cash price is lower than the typical insurer rate. Remember that with insurance you pay only your share of that rate once your deductible is met, and that cash payments usually don't count toward your deductible.

Does the price include the doctor?

No. These are the hospital's own charges, often called the facility fee. The doctors involved, such as the surgeon, the anesthesiologist or the radiologist who reads a scan, usually send a separate bill.

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