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 EVALUATION LOW COMPLEXITY 98087646
27700 Medical Center Rd
See all hospitals reporting CPT 97165 →Price type
Childrens Hospital at Mission - Cerner’s median price of $416 is 168% above the median hospital's median price ($155), higher than 96% 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: 10 payers, 20 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 | Blue Cross Blue Shield blue shield-triwest-tricare programs facility · fee schedule · outpatient | $111.89 | $111.89 | $111.89 – $111.89 |
| 2 | Kaiser medi-cal kaiser facility · other · outpatient | $224.00 | $224.00 | $224.00 – $224.00 |
| 3 | Aetna aetna us healthcare hmo/pos in net facility · percent of total billed charges · outpatientfrom % of charges | $268.48 | $268.48 | $268.48 – $268.48 |
| 4 | Aetna aetna us healthcare ppo/pos out net facility · percent of total billed charges · outpatientfrom % of charges | $268.48 | $268.48 | $268.48 – $268.48 |
| 5 | Cigna cigna epo/ppo facility · other · outpatient | $382.08 | $382.08 | $382.08 – $382.08 |
| 6 | Cigna cigna healthcare hmo/pos in net facility · other · outpatient | $382.08 | $382.08 | $382.08 – $382.08 |
| 7 | Kaiser kaiser foundation hospitals hmo facility · percent of total billed charges · outpatientfrom % of charges | $384.00 | $384.00 | $384.00 – $384.00 |
| 8 | Blue Cross Blue Shield blue shield exchange/covered ca/ppo facility · other · outpatient | $444.16 | $444.16 | $444.16 – $444.16 |
| 9 | Oscar oscar health plan ppo epo facility · per diem · outpatient | $450.00 | $450.00 | $450.00 – $450.00 |
| 10 | Bcbs Ca blue shield of california hmo/pos/ppo facility · other · outpatient | $460.16 | $460.16 | $460.16 – $460.16 |
| 11 | Blue Cross Blue Shield blue shield calpers ppo facility · other · outpatient | $460.16 | $460.16 | $460.16 – $460.16 |
| 12 | First Health first health affordable epo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $467.20 | $467.20 | $467.20 – $467.20 |
| 13 | Bcbs Ca blue cross of california vivity hmo in net facility · per diem · outpatient | $493.00 | $493.00 | $493.00 – $493.00 |
| 14 | Humana humana choicecare ppo facility · percent of total billed charges · outpatientfrom % of charges | $512.00 | $512.00 | $512.00 – $512.00 |
| 15 | Phcs private healthcare systems (phcs) epo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $512.00 | $512.00 | $512.00 – $512.00 |
| 16 | MultiPlan multiplan ppo facility · percent of total billed charges · inpatientfrom % of charges | $576.00 | $576.00 | $576.00 – $576.00 |
| 17 | MultiPlan multiplan ppo facility · percent of total billed charges · outpatientfrom % of charges | $576.00 | $576.00 | $576.00 – $576.00 |
| 18 | Bcbs Ca blue cross of california select ppo out net facility · per diem · outpatient | $783.00 | $783.00 | $783.00 – $783.00 |
| 19 | Bcbs Ca blue cross of california hmo/pos in net facility · per diem · outpatient | $824.00 | $824.00 | $824.00 – $824.00 |
| 20 | Bcbs Ca blue cross of california ppo/pos out net facility · per diem · outpatient | $824.00 | $824.00 | $824.00 – $824.00 |
Last updated: Mar 18, 2026
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