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 Initial Eval - 30 min Low Complexity
Orange, CA
See all hospitals reporting CPT 97165 →Price type
Childrens Hospital of Orange County - Profit’s median price of $600 is 286% above the median hospital's median price ($155), higher than 99% 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: 12 payers, 28 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 | Medicare medicare** facility · fee schedule · outpatient | $111.46 | $111.46 | $111.46 – $111.46 |
| 2 | Blue Cross Blue Shield blue shield-triwest-tricare programs facility · fee schedule · outpatient | $111.89 | $111.89 | $111.89 – $111.89 |
| 3 | Bcbs Ca blue cross of california hmo/pos/ppo** facility · per diem · outpatient | $233.00 | $233.00 | $233.00 – $233.00 |
| 4 | Bcbs Ca blue cross/vivity/pih-presbyterian health/hmo facility · per diem · outpatient | $436.00 | $436.00 | $436.00 – $436.00 |
| 5 | Kaiser medi-cal kaiser facility · other · outpatient | $480.20 | $440.21 | $160.30 – $640.15 |
| 6 | Oscar oscar health plan ppo epo facility · per diem · outpatient | $450.00 | $462.50 | $450.00 – $500.00 |
| 7 | Aetna aetna us healthcare hmo/pos in net facility · fee schedule · outpatient | $657.29 | $657.29 | $657.29 – $657.29 |
| 8 | Aetna aetna us healthcare ppo/pos out net facility · fee schedule · outpatient | $657.29 | $657.29 | $657.29 – $657.29 |
| 9 | Bcbs Ca blue cross of california select ppo out net facility · per diem · outpatient | $727.00 | $727.00 | $727.00 – $727.00 |
| 10 | Bcbs Ca blue shield of california uc care ppo facility · percent of total billed charges · outpatientfrom % of charges | $812.23 | $744.59 | $271.14 – $1,083 |
| 11 | Cigna cigna epo/ppo facility · other · outpatient | $819.08 | $750.88 | $273.43 – $1,092 |
| 12 | Cigna cigna healthcare of california hmo/pos in net facility · other · outpatient | $819.08 | $750.88 | $273.43 – $1,092 |
| 13 | Kaiser kaiser foundation hospitals hmo facility · percent of total billed charges · outpatientfrom % of charges | $823.20 | $754.65 | $274.80 – $1,097 |
| 14 | Magellan magellan health services hmo facility · percent of total billed charges · outpatientfrom % of charges | $823.20 | $754.65 | $274.80 – $1,097 |
| 15 | Magellan magellan health services ppo facility · percent of total billed charges · outpatientfrom % of charges | $823.20 | $754.65 | $274.80 – $1,097 |
| 16 | Bcbs Ca blue cross of california hmo/pos in net facility · per diem · outpatient | $765.00 | $765.00 | $765.00 – $765.00 |
| 17 | Bcbs Ca blue cross of california ppo/pos out net facility · per diem · outpatient | $765.00 | $765.00 | $765.00 – $765.00 |
| 18 | Blue Cross Blue Shield blue shield exchange/covered ca/ppo facility · per diem · outpatient | $952.17 | $872.88 | $317.85 – $1,269 |
| 19 | Bcbs Ca blue shield of california hmo/pos/ppo** facility · per diem · outpatient | $986.47 | $904.32 | $329.30 – $1,315 |
| 20 | Blue Cross Blue Shield blue shield calpers ppo facility · per diem · outpatient | $986.47 | $904.32 | $329.30 – $1,315 |
| 21 | First Health first health affordable epo/ppo** facility · percent of total billed charges · outpatientfrom % of charges | $1,002 | $918.16 | $334.34 – $1,335 |
| 22 | Cigna cigna behavioral health (evernorth behavioral health inc) hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,098 | $1,006 | $366.40 – $1,463 |
| 23 | Cigna cigna behavioral health (evernorth behavioral health, inc.) ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,098 | $1,006 | $366.40 – $1,463 |
| 24 | Humana humana choicecare ppo** facility · percent of total billed charges · outpatientfrom % of charges | $1,098 | $1,006 | $366.40 – $1,463 |
| 25 | MultiPlan multiplan ppo** facility · percent of total billed charges · inpatientfrom % of charges | $1,098 | $1,006 | $366.40 – $1,463 |
Last updated: Mar 19, 2026
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