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 CMP OT
Crestview, FL
See all hospitals reporting CPT 97165 →Price type
Crestview Hospital Corporation’s median price of $261 is 68% above the median hospital's median price ($155), higher than 81% 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: 11 payers, 32 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 | Tricare node tricare facility · fee schedule · outpatient | $93.32 | $93.32 | $93.32 – $93.32 |
| 2 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $96.98 | $96.98 | $96.98 – $96.98 |
| 3 | Blue Cross Blue Shield node bcbs fl mcr adv facility · fee schedule · outpatient | $96.98 | $96.98 | $96.98 – $96.98 |
| 4 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $96.98 | $96.98 | $96.98 – $96.98 |
| 5 | Humana node humana mcr hmo pffs facility · fee schedule · outpatient | $96.98 | $96.98 | $96.98 – $96.98 |
| 6 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $96.98 | $96.98 | $96.98 – $96.98 |
| 7 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $99.89 | $99.89 | $99.89 – $99.89 |
| 8 | Humana node humana mcr ppo facility · fee schedule · outpatient | $101.83 | $101.83 | $101.83 – $101.83 |
| 9 | UnitedHealthcare uhc medicaid fl facility · fee schedule · outpatient | $260.99 | $260.99 | $260.99 – $260.99 |
| 10 | Humana humana medicaid fl facility · fee schedule · outpatient | $268.82 | $268.82 | $268.82 – $268.82 |
| 11 | WellCare wellcare medicaid fl facility · fee schedule · outpatient | $274.04 | $274.04 | $274.04 – $274.04 |
| 12 | Magellan magellan medicaid fl facility · fee schedule · outpatient | $280.56 | $280.56 | $280.56 – $280.56 |
| 13 | Oscar oscar facility · other · outpatient | $285.65 | $285.65 | $285.65 – $285.65 |
| 14 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $359.89 | $359.89 | $359.89 – $359.89 |
| 15 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $393.06 | $393.06 | $393.06 – $393.06 |
| 16 | Aetna aetna intl passport facility · percent of total billed charges · inpatientfrom % of charges | $430.46 | $430.46 | $430.46 – $430.46 |
| 17 | Aetna aetna intl passport facility · percent of total billed charges · outpatientfrom % of charges | $430.46 | $430.46 | $430.46 – $430.46 |
| 18 | UnitedHealthcare uhc nhp facility · per diem · outpatient | $441.00 | $441.00 | $441.00 – $441.00 |
| 19 | Aetna aetna facility · per diem · outpatient | $457.00 | $457.00 | $457.00 – $457.00 |
| 20 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $458.69 | $458.69 | $458.69 – $458.69 |
| 21 | UnitedHealthcare uhc apa facility · per diem · outpatient | $482.00 | $482.00 | $482.00 – $482.00 |
| 22 | Aetna aetna asa facility · per diem · outpatient | $503.00 | $503.00 | $503.00 – $503.00 |
| 23 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $529.25 | $529.25 | $529.25 – $529.25 |
| 24 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $550.42 | $550.42 | $550.42 – $550.42 |
| 25 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $635.10 | $635.10 | $635.10 – $635.10 |
Last updated: Apr 1, 2026
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