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 Cmplxty - 30 Min
Pittsfield, MA
See all hospitals reporting CPT 97165 →Price type
Berkshire Medical Center’s median price of $264 is 69% above the median hospital's median price ($155), higher than 82% 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, 41 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 | Medicaid mcd masshealth professional · fee schedule · outpatient | $76.54 | $76.54 | $76.54 – $76.54 |
| 2 | Medicaid mcdmanaged medicaid acos professional · fee schedule · outpatient | $76.54 | $76.54 | $76.54 – $76.54 |
| 3 | Medicare mcr traditional medicare facility · fee schedule · outpatient | $102.22 | $102.22 | $102.22 – $102.22 |
| 4 | Medicare mcrmanaged medicare hmo facility · fee schedule · outpatient | $102.22 | $102.22 | $102.22 – $102.22 |
| 5 | Medicare mcr traditional medicare professional · fee schedule · outpatient | $102.22 | $102.22 | $102.22 – $102.22 |
| 6 | Medicare mcrmanaged medicare hmo professional · fee schedule · outpatient | $102.22 | $102.22 | $102.22 – $102.22 |
| 7 | UnitedHealthcare mcrmanaged united vaccn facility · fee schedule · outpatient | $103.88 | $103.88 | $103.88 – $103.88 |
| 8 | UnitedHealthcare mcrmanaged united vaccn bh facility · fee schedule · outpatient | $103.88 | $103.88 | $103.88 – $103.88 |
| 9 | UnitedHealthcare mcrmanaged united vaccn professional · fee schedule · outpatient | $103.88 | $103.88 | $103.88 – $103.88 |
| 10 | UnitedHealthcare mcrmanaged united vaccn bh professional · fee schedule · outpatient | $103.88 | $103.88 | $103.88 – $103.88 |
| 11 | Blue Cross Blue Shield mcrmanaged blue cross vt medicare hmo facility · fee schedule · outpatient | $107.33 | $107.33 | $107.33 – $107.33 |
| 12 | Blue Cross Blue Shield mcrmanaged blue cross vt medicare hmo professional · fee schedule · outpatient | $107.33 | $107.33 | $107.33 – $107.33 |
| 13 | Medicaid mcd masshealth facility · fee schedule · outpatient | $108.46 | $108.46 | $108.46 – $108.46 |
| 14 | Medicaid mcdmanaged medicaid acos facility · fee schedule · outpatient | $108.46 | $108.46 | $108.46 – $108.46 |
| 15 | Aetna comm aetna professional · fee schedule · outpatient | $122.58 | $122.58 | $122.58 – $122.58 |
| 16 | Blue Cross Blue Shield comm blue cross ma hmo facility · other · outpatient | $220.99 | $220.99 | $220.99 – $220.99 |
| 17 | Blue Cross Blue Shield comm blue cross ma ppo facility · other · outpatient | $232.66 | $232.66 | $232.66 – $232.66 |
| 18 | Blue Cross Blue Shield comm blue cross ma indem facility · other · outpatient | $237.41 | $237.41 | $237.41 – $237.41 |
| 19 | UnitedHealthcare comm united bh facility · percent of total billed charges · inpatientfrom % of charges | $266.20 | $266.20 | $266.20 – $266.20 |
| 20 | UnitedHealthcare comm united bh facility · percent of total billed charges · outpatientfrom % of charges | $266.20 | $266.20 | $266.20 – $266.20 |
| 21 | UnitedHealthcare comm united bh professional · fee schedule · outpatient | $266.20 | $266.20 | $266.20 – $266.20 |
| 22 | Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · inpatientfrom % of charges | $294.87 | $294.87 | $294.87 – $294.87 |
| 23 | Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · outpatientfrom % of charges | $294.87 | $294.87 | $294.87 – $294.87 |
| 24 | Aetna comm aetna facility · percent of total billed charges · inpatientfrom % of charges | $303.06 | $303.06 | $303.06 – $303.06 |
| 25 | Aetna comm aetna facility · percent of total billed charges · outpatientfrom % of charges | $303.06 | $303.06 | $303.06 – $303.06 |
Last updated: Oct 9, 2026
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