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
OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS
Edison, NJ
See all hospitals reporting CPT 97165 →Price type
Hmh Hospitals Corporation’s median price of $257 is 65% above the median hospital's median price ($155), higher than 80% 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: 7 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $81.18 | $81.18 | $81.18 – $81.18 |
| 2 | Blue Cross Blue Shield medicare advantage facility · other · outpatient | $104.00 | $104.00 | $104.00 – $104.00 |
| 3 | Aetna medicare advantage facility · fee schedule · outpatient | $128.99 | $128.99 | $128.99 – $128.99 |
| 4 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $153.07 | $153.07 | $153.07 – $153.07 |
| 5 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $157.67 | $157.67 | $157.67 – $157.67 |
| 6 | UnitedHealthcare all products facility · other · outpatient | $193.00 | $193.00 | $193.00 – $193.00 |
| 7 | WellCare managed medicaid facility · other · outpatient | $224.00 | $224.00 | $224.00 – $224.00 |
| 8 | WellCare medicare advantage facility · other · outpatient | $224.00 | $224.00 | $224.00 – $224.00 |
| 9 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $225.50 | $225.50 | $225.50 – $225.50 |
| 10 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $382.63 | $382.63 | $382.63 – $382.63 |
| 11 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $382.63 | $382.63 | $382.63 – $382.63 |
| 12 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $382.63 | $382.63 | $382.63 – $382.63 |
| 13 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $383.35 | $383.35 | $383.35 – $383.35 |
| 14 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $434.13 | $434.13 | $434.13 – $434.13 |
| 15 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $434.13 | $434.13 | $434.13 – $434.13 |
| 16 | UnitedHealthcare hmo facility · other · outpatient | $565.00 | $565.00 | $565.00 – $565.00 |
Last updated: Dec 31, 2025
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