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
HC OT EVAL LOW COMPLEX (97165)
Brenham, TX
See all hospitals reporting CPT 97165 →Price type
Baylor Scott & White Medical Center - Brenham’s median price of $283 is 82% above the median hospital's median price ($155), higher than 85% 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: 8 payers, 23 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 | Baylor Scott White Health Plan medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $65.48 | $65.48 | $65.48 – $65.48 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $72.38 | $72.38 | $72.38 – $72.38 |
| 3 | Superior Healthplan medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $72.38 | $72.38 | $72.38 – $72.38 |
| 4 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $77.20 | $77.20 | $77.20 – $77.20 |
| 5 | Baylor Scott White Health Plan bsw premier - small group facility · percent of total billed charges · outpatientfrom % of charges | $82.71 | $82.71 | $82.71 – $82.71 |
| 6 | Baylor Scott White Health Plan bsw premier - individual facility · percent of total billed charges · outpatientfrom % of charges | $86.53 | $86.53 | $86.53 – $86.53 |
| 7 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $99.84 | $99.84 | $99.84 – $99.84 |
| 8 | Aetna commercial facility · fee schedule · outpatient | $108.00 | $108.00 | $108.00 – $108.00 |
| 9 | UnitedHealthcare commercial facility · fee schedule · outpatient | $112.00 | $112.00 | $112.00 – $112.00 |
| 10 | Baylor Scott White Health Plan bsw plus - small group facility · percent of total billed charges · outpatientfrom % of charges | $124.07 | $124.07 | $124.07 – $124.07 |
| 11 | Cigna local plus facility · per diem · outpatient | $157.00 | $157.00 | $157.00 – $157.00 |
| 12 | Cigna hmo/ppo facility · per diem · outpatient | $185.00 | $185.00 | $185.00 – $185.00 |
| 13 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $192.89 | $192.89 | $192.89 – $192.89 |
| 14 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $226.93 | $226.93 | $226.93 – $226.93 |
| 15 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $280.80 | $280.80 | $280.80 – $280.80 |
| 16 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $284.52 | $284.52 | $284.52 – $284.52 |
| 17 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $325.43 | $325.43 | $325.43 – $325.43 |
| 18 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $343.10 | $343.10 | $343.10 – $343.10 |
| 19 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $371.15 | $371.15 | $371.15 – $371.15 |
| 20 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $371.15 | $371.15 | $371.15 – $371.15 |
| 21 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $371.15 | $371.15 | $371.15 – $371.15 |
| 22 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $424.18 | $424.18 | $424.18 – $424.18 |
| 23 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $424.18 | $424.18 | $424.18 – $424.18 |
Last updated: Jun 12, 2026
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