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 EVAL LOW COMPLEX 30 MIN
Orange, TX
See all hospitals reporting CPT 97165 →Price type
CHRISTUS Hospital - Orange’s median price of $337 is 117% above the median hospital's median price ($155), higher than 92% 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: 5 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 | UnitedHealthcare hix fee schedule · outpatient | $74.00 | $74.00 | $74.00 – $74.00 |
| 2 | Humana choicecare per diem · outpatient | $184.00 | $184.00 | $184.00 – $184.00 |
| 3 | UnitedHealthcare all payer fee schedule · outpatient | $185.00 | $185.00 | $185.00 – $185.00 |
| 4 | Cigna new business fee schedule · outpatient | $245.00 | $245.00 | $245.00 – $245.00 |
| 5 | Cigna ppo fee schedule · outpatient | $313.00 | $313.00 | $313.00 – $313.00 |
| 6 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $335.66 | $335.66 | $335.66 – $335.66 |
| 7 | Aetna new business per diem · outpatient | $339.00 | $339.00 | $339.00 – $339.00 |
| 8 | Bcbs Tx heb fee schedule · outpatient | $375.64 | $375.64 | $375.64 – $375.64 |
| 9 | Bcbs Tx hmo fee schedule · outpatient | $375.64 | $375.64 | $375.64 – $375.64 |
| 10 | Aetna hmo per diem · outpatient | $377.00 | $377.00 | $377.00 – $377.00 |
| 11 | Aetna epo per diem · outpatient | $396.00 | $396.00 | $396.00 – $396.00 |
| 12 | Aetna pos per diem · outpatient | $396.00 | $396.00 | $396.00 – $396.00 |
| 13 | Aetna ppo per diem · outpatient | $396.00 | $396.00 | $396.00 – $396.00 |
| 14 | Bcbs Tx ppo fee schedule · outpatient | $417.48 | $417.48 | $417.48 – $417.48 |
| 15 | Bcbs Tx traditional fee schedule · outpatient | $443.51 | $443.51 | $443.51 – $443.51 |
Last updated: Jan 13, 2026
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