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
HC Ot Evaluation Low Complexity Patient/Family
Waterloo, IA
See all hospitals reporting CPT 97165 →Price type
Covenant Medical Center Inc’s median price of $251 is 61% above the median hospital's median price ($155), higher than 78% 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, 14 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 | Molina molina medicaid facility · fee schedule · both | $73.29 | $73.29 | $73.29 – $73.29 |
| 2 | Aetna aetna medicare advantage facility · fee schedule · both | $94.74 | $94.74 | $94.74 – $94.74 |
| 3 | Wellmark wellmark medicare advantage facility · fee schedule · both | $95.68 | $95.68 | $95.68 – $95.68 |
| 4 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $96.63 | $96.63 | $96.63 – $96.63 |
| 5 | Oscar oscar facility · fee schedule · both | $148.36 | $148.36 | $148.36 – $148.36 |
| 6 | Ambetter ambetter marketplace facility · fee schedule · both | $162.41 | $162.41 | $162.41 – $162.41 |
| 7 | UnitedHealthcare united healthcare facility · case rate · both | $231.00 | $231.00 | $231.00 – $231.00 |
| 8 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $250.63 | $250.63 | $250.63 – $250.63 |
| 9 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $250.63 | $250.63 | $250.63 – $250.63 |
| 10 | Aetna aetna facility · per diem · both | $301.50 | $301.50 | $301.50 – $301.50 |
| 11 | First Health aetna facility · per diem · both | $301.50 | $301.50 | $301.50 – $301.50 |
| 12 | Medical Mutual aetna facility · per diem · both | $301.50 | $301.50 | $301.50 – $301.50 |
| 13 | UnitedHealthcare united healthcare deere premier facility · percent of total billed charges · bothfrom % of charges | $328.29 | $328.29 | $328.29 – $328.29 |
| 14 | UnitedHealthcare uhc optum behavioral health facility · percent of total billed charges · bothfrom % of charges | $353.00 | $353.00 | $353.00 – $353.00 |
Last updated: Mar 31, 2026
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