OT RE EVALUATION (PER SESSION) at Evans Memorial Hospital

Claxton, GA

Pricing by billing methodology

Price type

How this price compares nationally

Evans Memorial Hospital’s median price of $157 is 41% above the median hospital's median price ($111), higher than 69% of the 175 hospitals reporting CPT 97004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97004 at Evans Memorial Hospital

Negotiated rates from the hospital’s own file: 5 payers, 8 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 hmo percent of total billed charges · outpatientfrom % of charges	$42	$42	—	—	—	$42 – $42
2	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
3	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
4	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
5	UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges	$176	$176	—	—	—	$176 – $176
6	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$176	$176	—	—	—	$176 – $176
7	Cigna ppo percent of total billed charges · inpatientfrom % of charges	$185	$185	—	—	—	$185 – $185
8	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$230	$230	—	—	—	$230 – $230

Last updated: Mar 26, 2026

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