Occupational therapy evaluation, low complexity, 30 minutes at Fairview Park Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or

DUBLIN, GA

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How this price compares nationally

Fairview Park Hospital’s median price of $100 is 36% below the median hospital's median price ($155), higher than 15% of the 2,514 hospitals reporting CPT 97165. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97165 at Fairview Park Hospital

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	Devoted mcr fee schedule · outpatient	$89.61	$89.61	$83.89 – $95.33
2	Humana mgmcr fee schedule · outpatient	$89.61	$89.61	$83.89 – $95.33
3	UnitedHealthcare vaccn fee schedule · outpatient	$89.61	$89.61	$83.89 – $95.33
4	Aetna mcr fee schedule · outpatient	$90.51	$90.51	$84.73 – $96.28
5	UnitedHealthcare mcr fee schedule · outpatient	$91.41	$91.41	$85.57 – $97.24
6	WellCare mcr fee schedule · outpatient	$91.41	$91.41	$85.57 – $97.24
7	Humana tricare fee schedule · outpatient	$92.12	$92.12	$92.12 – $92.12
8	Blue Cross Blue Shield mcr fee schedule · outpatient	$92.30	$92.30	$86.41 – $98.19
9	Clover mcr fee schedule · outpatient	$94.09	$94.09	$88.08 – $100.10
10	Ambetter hix percent of total billed charges · outpatientfrom % of charges	$188.85	$188.85	$188.85 – $188.85
11	WellCare mcd percent of total billed charges · outpatientfrom % of charges	$258.70	$258.70	$258.70 – $258.70
12	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$319.49	$319.49	$319.49 – $319.49
13	Cigna localplus percent of total billed charges · outpatientfrom % of charges	$351.83	$351.83	$351.83 – $351.83
14	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$469.54	$469.54	$469.54 – $469.54
15	Cigna oap percent of total billed charges · outpatientfrom % of charges	$469.54	$469.54	$469.54 – $469.54
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$469.54	$469.54	$469.54 – $469.54
17	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$582.08	$582.08	$582.08 – $582.08
18	Aetna nap percent of total billed charges · outpatientfrom % of charges	$713.11	$713.11	$713.11 – $713.11
19	MultiPlan complementary percent of total billed charges · outpatientfrom % of charges	$1,164	$1,164	$1,164 – $1,164
20	MultiPlan primary percent of total billed charges · outpatientfrom % of charges	$1,164	$1,164	$1,164 – $1,164

Last updated: Mar 1, 2026

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