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 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS
Plattsburgh, NY
See all hospitals reporting CPT 97165 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $187 is 20% above the median hospital's median price ($155), higher than 61% 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, 15 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 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $51.80 | $51.80 | $51.80 – $51.80 |
| 2 | UnitedHealthcare managed medicaid/essential plans facility · fee schedule · outpatient | $87.33 | $87.33 | $87.33 – $87.33 |
| 3 | Blue Cross Blue Shield managed medicaid aliessa facility · fee schedule · outpatient | $91.70 | $91.70 | $91.70 – $91.70 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $93.24 | $93.24 | $93.24 – $93.24 |
| 5 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $157.99 | $157.99 | $157.99 – $157.99 |
| 6 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $165.76 | $165.76 | $165.76 – $165.76 |
| 7 | Blue Cross Blue Shield ind facility · percent of total billed charges · outpatientfrom % of charges | $165.76 | $165.76 | $165.76 – $165.76 |
| 8 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $165.76 | $165.76 | $165.76 – $165.76 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $184.67 | $184.67 | $184.67 – $184.67 |
| 10 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $188.66 | $188.66 | $188.66 – $188.66 |
| 11 | Highmark ind/fep facility · percent of total billed charges · outpatientfrom % of charges | $191.66 | $191.66 | $191.66 – $191.66 |
| 12 | Highmark ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $191.66 | $191.66 | $191.66 – $191.66 |
| 13 | Blue Cross Blue Shield essential plans/managed medicaid facility · fee schedule · outpatient | $196.49 | $196.49 | $196.49 – $196.49 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $197.62 | $197.62 | $197.62 – $197.62 |
| 15 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $246.05 | $246.05 | $246.05 – $246.05 |
Last updated: Apr 28, 2026
See Occupational therapy evaluation, low complexity, 30 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.