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
Statesboro, GA
See all hospitals reporting CPT 97165 →Price type
East Georgia Regional Medical Center LLC’s median price of $159 is 2% above the median hospital's median price ($155), higher than 51% 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, 20 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 | Caresource caresource medicaid facility · percent of total billed charges · outpatientfrom % of charges | $30.97 | $30.97 | $30.97 – $30.97 |
| 2 | UnitedHealthcare uhc medicaid facility · percent of total billed charges · outpatientfrom % of charges | $30.97 | $30.97 | $30.97 – $30.97 |
| 3 | Blue Cross Blue Shield bcbs hix pathway facility · fee schedule · outpatient | $87.83 | $87.83 | $87.83 – $87.83 |
| 4 | Tricare node tricare facility · fee schedule · outpatient | $90.22 | $90.22 | $90.22 – $90.22 |
| 5 | Clover node clover health mcr adv facility · fee schedule · outpatient | $93.80 | $93.80 | $93.80 – $93.80 |
| 6 | Humana node humana mcr adv facility · fee schedule · outpatient | $93.80 | $93.80 | $93.80 – $93.80 |
| 7 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $93.80 | $93.80 | $93.80 – $93.80 |
| 8 | Optum node united optum va ccn facility · per diem · outpatient | $95.33 | $95.33 | $95.33 – $95.33 |
| 9 | Caresource node caresource mcr adv facility · fee schedule · outpatient | $98.50 | $98.50 | $98.50 – $98.50 |
| 10 | Blue Cross Blue Shield bcbs hmo facility · fee schedule · outpatient | $99.37 | $99.37 | $99.37 – $99.37 |
| 11 | Blue Cross Blue Shield bcbs ppo facility · fee schedule · outpatient | $125.75 | $125.75 | $125.75 – $125.75 |
| 12 | Ambetter node ambetter health exchange facility · fee schedule · outpatient | $170.72 | $170.72 | $170.72 – $170.72 |
| 13 | Caresource node caresource exchange facility · fee schedule · outpatient | $171.59 | $171.59 | $171.59 – $171.59 |
| 14 | UnitedHealthcare uhc exchange facility · fee schedule · outpatient | $181.13 | $181.13 | $181.13 – $181.13 |
| 15 | Aetna aetna new business facility · fee schedule · outpatient | $203.60 | $203.60 | $203.60 – $203.60 |
| 16 | UnitedHealthcare uhc apa facility · per diem · outpatient | $364.00 | $364.00 | $364.00 – $364.00 |
| 17 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $380.25 | $380.25 | $380.25 – $380.25 |
| 18 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $380.25 | $380.25 | $380.25 – $380.25 |
| 19 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $405.60 | $405.60 | $405.60 – $405.60 |
| 20 | Aetna aetna all facility · per diem · inpatient | $900.00 | $900.00 | $900.00 – $900.00 |
Last updated: Apr 1, 2026
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