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 EVALUATION 30 MINS W PATIENT AND OR FAMILY
Morganton, NC
See all hospitals reporting CPT 97165 →Price type
Blue Ridge HealthCare Hospitals, Inc’s median price of $235 is 51% above the median hospital's median price ($155), higher than 74% 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: 6 payers, 18 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 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $49.61 | $49.61 | $49.61 – $49.61 |
| 2 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $49.61 | $49.61 | $49.61 – $49.61 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $83.41 | $83.41 | $83.41 – $83.41 |
| 4 | Blue Cross Blue Shield blue value facility · percent of total billed charges · inpatientfrom % of charges | $155.41 | $155.41 | $155.41 – $155.41 |
| 5 | Blue Cross Blue Shield blue value facility · percent of total billed charges · outpatientfrom % of charges | $164.71 | $164.71 | $164.71 – $164.71 |
| 6 | Blue Cross Blue Shield blue select/hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $218.84 | $218.84 | $218.84 – $218.84 |
| 7 | UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $233.99 | $233.99 | $233.99 – $233.99 |
| 8 | Blue Cross Blue Shield blue select/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $235.70 | $235.70 | $235.70 – $235.70 |
| 9 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $241.89 | $241.89 | $241.89 – $241.89 |
| 10 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $262.52 | $262.52 | $262.52 – $262.52 |
| 11 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $264.72 | $264.72 | $264.72 – $264.72 |
| 12 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $280.08 | $280.08 | $280.08 – $280.08 |
| 13 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $291.06 | $291.06 | $291.06 – $291.06 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $294.13 | $294.13 | $294.13 – $294.13 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $298.52 | $298.52 | $298.52 – $298.52 |
| 16 | UnitedHealthcare commercial facility · per diem · outpatient | $309.00 | $309.00 | $309.00 – $309.00 |
| 17 | Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges | $309.50 | $309.50 | $309.50 – $309.50 |
| 18 | Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges | $311.69 | $311.69 | $311.69 – $311.69 |
Last updated: Jun 4, 2026
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