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
Lenoir, NC
See all hospitals reporting CPT 97165 →Price type
Caldwell Memorial Hospital’s median price of $47 is 70% below the median hospital's median price ($155), higher than 0% 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, 17 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 | $33.40 | $33.40 | $33.40 – $33.40 |
| 2 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $33.40 | $33.40 | $33.40 – $33.40 |
| 3 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $33.40 | $33.40 | $33.40 – $33.40 |
| 4 | Blue Cross Blue Shield blue value facility · percent of total billed charges · outpatientfrom % of charges | $41.37 | $41.37 | $41.37 – $41.37 |
| 5 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $43.40 | $43.40 | $43.40 – $43.40 |
| 6 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $49.60 | $49.60 | $49.60 – $49.60 |
| 7 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $61.84 | $61.84 | $61.84 – $61.84 |
| 8 | Blue Cross Blue Shield blue select/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $64.88 | $64.88 | $64.88 – $64.88 |
| 9 | Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges | $69.91 | $69.91 | $69.91 – $69.91 |
| 10 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $82.15 | $82.15 | $82.15 – $82.15 |
| 11 | Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges | $90.21 | $90.21 | $90.21 – $90.21 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $91.45 | $91.45 | $91.45 – $91.45 |
| 13 | UnitedHealthcare individual exchange facility · per diem · outpatient | $94.00 | $94.00 | $94.00 – $94.00 |
| 14 | Cigna commercial facility · per diem · outpatient | $124.00 | $124.00 | $124.00 – $124.00 |
| 15 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $124.00 | $124.00 | $124.00 – $124.00 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $124.00 | $124.00 | $124.00 – $124.00 |
| 17 | UnitedHealthcare commercial facility · per diem · outpatient | $248.00 | $248.00 | $248.00 – $248.00 |
Last updated: Jun 4, 2026
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