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
OT EVAL-LOW CMP COTA
Birmingham, AL
See all hospitals reporting CPT 97165 →Price type
Affinity Hospital LLC’s median price of $204 is 31% above the median hospital's median price ($155), higher than 66% 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: 13 payers, 22 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 Al bcbs al all facility · other · outpatient | $47.76 | $47.76 | $47.76 – $47.76 |
| 2 | Tricare node tricare facility · fee schedule · outpatient | $88.89 | $88.89 | $88.89 – $88.89 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $92.79 | $92.79 | $92.79 – $92.79 |
| 4 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $92.79 | $92.79 | $92.79 – $92.79 |
| 5 | Optum node united optum va ccn facility · fee schedule · outpatient | $94.30 | $94.30 | $94.30 – $94.30 |
| 6 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $94.65 | $94.65 | $94.65 – $94.65 |
| 7 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $94.65 | $94.65 | $94.65 – $94.65 |
| 8 | Clover node clover health mcr adv facility · fee schedule · outpatient | $95.24 | $95.24 | $95.24 – $95.24 |
| 9 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $95.58 | $95.58 | $95.58 – $95.58 |
| 10 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $96.19 | $96.19 | $96.19 – $96.19 |
| 11 | First Health first health work comp al facility · other · outpatient | $107.02 | $107.02 | $107.02 – $107.02 |
| 12 | WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient | $141.45 | $141.45 | $141.45 – $141.45 |
| 13 | UnitedHealthcare uhc iex facility · per diem · outpatient | $146.00 | $146.00 | $146.00 – $146.00 |
| 14 | Cigna cigna all facility · per diem · outpatient | $171.00 | $171.00 | $171.00 – $171.00 |
| 15 | UnitedHealthcare uhc apa facility · per diem · outpatient | $217.00 | $217.00 | $217.00 – $217.00 |
| 16 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $276.47 | $276.47 | $272.72 – $280.22 |
| 17 | Optum optum health facility · percent of total billed charges · outpatientfrom % of charges | $447.53 | $447.53 | $441.45 – $453.60 |
| 18 | First Health first health facility · other · outpatient | $596.70 | $596.70 | $588.60 – $604.80 |
| 19 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $606.65 | $606.65 | $598.41 – $614.88 |
| 20 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $616.59 | $616.59 | $608.22 – $624.96 |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $696.15 | $696.15 | $686.70 – $705.60 |
| 22 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $696.15 | $696.15 | $686.70 – $705.60 |
Last updated: Apr 1, 2026
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