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
Toms River, NJ
See all hospitals reporting CPT 97165 →Price type
Community Medical Center’s median price of $129 is 17% below the median hospital's median price ($155), higher than 39% 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: 4 payers, 11 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 | Aetna better health percent of total billed charges · outpatientfrom % of charges | $61.66 | $61.66 | $61.66 – $61.66 |
| 2 | Bcbs Nj nj health other · outpatient | $66.00 | $66.00 | $66.00 – $66.00 |
| 3 | Cigna local plus other · outpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 4 | Cigna hmo other · outpatient | $125.00 | $125.00 | $125.00 – $125.00 |
| 5 | Cigna ppo other · outpatient | $132.00 | $132.00 | $132.00 – $132.00 |
| 6 | UnitedHealthcare nexus other · outpatient | $170.00 | $170.00 | $170.00 – $170.00 |
| 7 | UnitedHealthcare oxford metro other · outpatient | $170.00 | $170.00 | $170.00 – $170.00 |
| 8 | Aetna hmo per diem · outpatient | $178.00 | $178.00 | $178.00 – $178.00 |
| 9 | Aetna ppo per diem · outpatient | $178.00 | $178.00 | $178.00 – $178.00 |
| 10 | UnitedHealthcare commercial other · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 11 | UnitedHealthcare oxford commercial other · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
Last updated: Mar 4, 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.