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
97165 OT EVAL LOW COMPLEX 30 MIN
Washington, DC
See all hospitals reporting CPT 97165 →Price type
Children's National Hospital’s median price of $152 is 2% below the median hospital's median price ($155), higher than 49% 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, 24 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Anthem hmo facility · fee schedule · outpatient | $113.16 | $113.16 | $113.16 – $113.16 |
| 2 | Anthem hmx facility · fee schedule · outpatient | $113.16 | $113.16 | $113.16 – $113.16 |
| 3 | Anthem ppo/par facility · fee schedule · outpatient | $113.16 | $113.16 | $113.16 – $113.16 |
| 4 | UnitedHealthcare all payer facility · fee schedule · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 5 | Carefirst managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $128.88 | $128.88 | $128.88 – $128.88 |
| 6 | Kaiser managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $128.88 | $128.88 | $128.88 – $128.88 |
| 7 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $128.88 | $128.88 | $128.88 – $128.88 |
| 8 | Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $132.46 | $132.46 | $132.46 – $132.46 |
| 9 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $137.00 | $137.00 | $137.00 – $137.00 |
| 10 | Aetna commercial facility · fee schedule · outpatient | $143.00 | $143.00 | $143.00 – $143.00 |
| 11 | Cigna epo facility · percent of total billed charges · inpatientfrom % of charges | $150.36 | $150.36 | $150.36 – $150.36 |
| 12 | Cigna epo facility · percent of total billed charges · outpatientfrom % of charges | $150.36 | $150.36 | $150.36 – $150.36 |
| 13 | Aetna Better Health managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $153.94 | $153.94 | $153.94 – $153.94 |
| 14 | Carefirst managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $153.94 | $153.94 | $153.94 – $153.94 |
| 15 | Kaiser managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $153.94 | $153.94 | $153.94 – $153.94 |
| 16 | UnitedHealthcare managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $153.94 | $153.94 | $153.94 – $153.94 |
| 17 | Anthem hmo facility · percent of total billed charges · inpatientfrom % of charges | $185.09 | $185.09 | $185.09 – $185.09 |
| 18 | Anthem hmx facility · percent of total billed charges · inpatientfrom % of charges | $185.09 | $185.09 | $185.09 – $185.09 |
| 19 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $191.17 | $191.17 | $191.17 – $191.17 |
| 20 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $191.17 | $191.17 | $191.17 – $191.17 |
| 21 | Anthem ppo/par facility · percent of total billed charges · inpatientfrom % of charges | $195.83 | $195.83 | $195.83 – $195.83 |
| 22 | Cigna oap facility · fee schedule · outpatient | $275.00 | $275.00 | $275.00 – $275.00 |
| 23 | Cigna ppo facility · fee schedule · outpatient | $275.00 | $275.00 | $275.00 – $275.00 |
| 24 | Carefirst rpn facility · fee schedule · outpatient | $2,196 | $2,196 | $2,196 – $2,196 |
Last updated: Apr 2, 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.