Occupational therapy evaluation, moderate complexity, 45 minutes

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ot Eval Mod Complex

Molina pricing summary

Low

Average

$167

Median

$133

High

$2.1k

Molina rate distribution

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1,050 hospital rates

#		Plans
1	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient	2	$135	$135	$49	36%	143–152	$86 – $184
2	The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges	1	$189	$167	$29	18%	140	$115 – $189
3	St. Joseph Medical Center Bellingham, WA facility · other · outpatient	2	$109	$97	$20	20%	70	$63 – $109
4	PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient	3	$64	$75	$32	44%	65	$41 – $111
5	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient	1	$201	$201	—	—	48	$201 – $201
6	Self Regional Healthcare Greenwood, SC facility · other · outpatient	2	$106	$106	$14	13%	41	$93 – $120
7	HARTFORD HOSPITAL HARTFORD, CT other · outpatient	1	$105	$105	—	—	39	$105 – $105
8	Upstate University Hospital Syracuse, NY facility · case rate · outpatient	2	$176	$176	$66	37%	32–68	$111 – $242
9	HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient	2	$249	$249	$10	4%	29–38	$239 – $258
10	Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges	1	$97	$96	$2	2%	23	$92 – $97
11	Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both	2	$170	$170	$2	1%	23–32	$168 – $171
12	The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges	1	$101	$101	—	—	17	$101 – $101
13	SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient	1	$105	$105	—	—	16	$105 – $105
14	Bexar County Hospital District San Antonio, TX other · outpatient	1	$142	$142	—	—	15	$142 – $142
15	THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient	1	$105	$105	—	—	13	$105 – $105
16	HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient	1	$105	$105	—	—	12	$105 – $105
17	Deaconess Health System Union County Hospital Morganfield, KY facility · other · inpatient	1	$171	$171	—	—	8–80	$171 – $171
18	Deaconess Health System Union County Hospital Morganfield, KY facility · percent of total billed charges · outpatientfrom % of charges	4	$161	$163	$4	3%	8–80	$161 – $171
19	Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges	1	$69	$67	$5	7%	6–60	$57 – $69
20	Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges	2	$103	$115	$48	42%	6–60	$57 – $167
21	Richland Memorial Hospital Inc Olney, IL percent of total billed charges · outpatientfrom % of charges	2	$146	$144	$26	18%	5–50	$118 – $176
22	Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges	1	$60	$59	$20	34%	4–40	$32 – $86
23	Adena Fayette Medical Center Washington Court House, OH facility · other · outpatient	2	$246	$246	—	—	2–20	$246 – $246
24	Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient	1	$65	$65	—	—	2–20	$65 – $65
25	Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient	1	$65	$65	—	—	2–20	$65 – $65

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CPT 97166