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 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS
Elizabethtown, NY
See all hospitals reporting CPT 97165 →Price type
Elizabethtown Community Hospital’s median price of $149 is 4% below the median hospital's median price ($155), higher than 47% 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: 6 payers, 16 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 managed medicaid/essential plans facility · fee schedule · outpatient | $87.33 | $87.33 | $87.33 – $87.33 |
| 2 | Blue Cross Blue Shield managed medicaid aliessa facility · fee schedule · outpatient | $91.70 | $91.70 | $91.70 – $91.70 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $116.66 | $116.66 | $116.66 – $116.66 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $116.66 | $116.66 | $116.66 – $116.66 |
| 5 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $116.66 | $116.66 | $116.66 – $116.66 |
| 6 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $116.66 | $116.66 | $116.66 – $116.66 |
| 7 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $122.80 | $122.80 | $122.80 – $122.80 |
| 8 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $181.13 | $181.13 | $181.13 – $181.13 |
| 9 | Blue Cross Blue Shield individual network facility · percent of total billed charges · outpatientfrom % of charges | $186.66 | $186.66 | $186.66 – $186.66 |
| 10 | Blue Cross Blue Shield hmo/pos/epo/ppo/ind facility · percent of total billed charges · outpatientfrom % of charges | $190.34 | $190.34 | $190.34 – $190.34 |
| 11 | Blue Cross Blue Shield essential plans/non-aliessa managed medicaid facility · fee schedule · outpatient | $196.49 | $196.49 | $196.49 – $196.49 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $230.25 | $230.25 | $230.25 – $230.25 |
| 13 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $230.74 | $230.74 | $230.74 – $230.74 |
| 14 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $250.21 | $250.21 | $250.21 – $250.21 |
| 15 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $276.30 | $276.30 | $276.30 – $276.30 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $282.75 | $282.75 | $282.75 – $282.75 |
Last updated: Apr 28, 2026
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