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
97165 OT EVAL LOW
Beckley, WV
See all hospitals reporting CPT 97165 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $270 is 74% above the median hospital's median price ($155), higher than 83% 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: 7 payers, 10 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 | Aetna medicare fee schedule · outpatient | $95.10 | $95.10 | $95.10 – $95.10 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $95.10 | $95.10 | $95.10 – $95.10 |
| 3 | Humana medicare fee schedule · outpatient | $95.10 | $95.10 | $95.10 – $95.10 |
| 4 | Optum veterans affairs plan fee schedule · outpatient | $95.10 | $95.10 | $95.10 – $95.10 |
| 5 | UnitedHealthcare medicare fee schedule · outpatient | $95.10 | $95.10 | $95.10 – $95.10 |
| 6 | WellCare medicare fee schedule · outpatient | $95.10 | $95.10 | $95.10 – $95.10 |
| 7 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $444.77 | $444.77 | $444.77 – $444.77 |
| 8 | Highmark aca other · outpatient | $475.43 | $475.43 | $475.43 – $475.43 |
| 9 | Aetna commercial percent of total billed charges · bothfrom % of charges | $495.44 | $495.44 | $495.44 – $495.44 |
| 10 | Highmark indemnity and managed care other · outpatient | $596.48 | $596.48 | $596.48 – $596.48 |
Last updated: Jan 1, 2026
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