Occupational therapy evaluation, moderate complexity, 45 minutes at Advocate Trinity Hospital

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

PEDS OT EVAL-MODERATE COMPLEXITY

Chicago, IL

See all hospitals reporting CPT 97166 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Advocate Trinity Hospital’s median price of $236 is 42% above the median hospital's median price ($167), higher than 69% of the 2,556 hospitals reporting CPT 97166. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97166 at Advocate Trinity Hospital

Negotiated rates from the hospital’s own file: 8 payers, 13 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.

Filter by billing methodology

Filter by billing class

#
1	Ambetter medicare advantage case rate · outpatient	$150	$150	—	—	—	$150 – $150
2	Molina medicare advantage case rate · outpatient	$150	$150	—	—	—	$150 – $150
3	Oscar medicare advantage case rate · outpatient	$155	$155	—	—	—	$155 – $155
4	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$173	$158	$88	55%	—	$43 – $243
5	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$180	$173	$99	57%	—	$42 – $297
6	Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges	$226	$206	$114	55%	—	$56 – $317
7	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$230	$210	$116	55%	—	$57 – $323
8	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$256	$234	$130	55%	—	$64 – $360
9	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$256	$234	$130	55%	—	$64 – $360
10	UnitedHealthcare commercial case rate · outpatient	$274	$306	$72	23%	—	$238 – $405
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$400	$400	$16	4%	—	$384 – $415
12	Blue Cross Blue Shield ppo fee schedule · outpatient	$437	$437	—	—	—	$437 – $437
13	UnitedHealthcare hmo case rate · outpatient	$469	$469	—	—	—	$469 – $469

Last updated: Nov 4, 2025

Compare to other hospitals

See Occupational therapy evaluation, moderate complexity, 45 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.