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
Hackensack, NJ
See all hospitals reporting CPT 97165 →Price type
Hmh Hospitals Corporation’s median price of $356 is 129% above the median hospital's median price ($155), higher than 93% 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: 8 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 | Optum managed medicaid facility · fee schedule · outpatient | $103.19 | $103.19 | $103.19 – $103.19 |
| 3 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $113.20 | $113.20 | $113.20 – $113.20 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $128.99 | $128.99 | $128.99 – $128.99 |
| 5 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $128.99 | $128.99 | $128.99 – $128.99 |
| 6 | Optum medicare advantage facility · fee schedule · outpatient | $128.99 | $128.99 | $128.99 – $128.99 |
| 7 | WellCare managed medicaid facility · fee schedule · outpatient | $128.99 | $128.99 | $128.99 – $128.99 |
| 8 | WellCare medicare advantage facility · fee schedule · outpatient | $128.99 | $128.99 | $128.99 – $128.99 |
| 9 | Cigna hmo facility · other · outpatient | $238.00 | $238.00 | $238.00 – $238.00 |
| 10 | Cigna ppo facility · other · outpatient | $238.00 | $238.00 | $238.00 – $238.00 |
| 11 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $360.80 | $360.80 | $360.80 – $360.80 |
| 12 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $383.35 | $383.35 | $383.35 – $383.35 |
| 13 | UnitedHealthcare hmo facility · other · outpatient | $406.00 | $406.00 | $406.00 – $406.00 |
| 14 | Aetna asa facility · fee schedule · outpatient | $869.53 | $869.53 | $869.53 – $869.53 |
| 15 | Aetna hmo facility · fee schedule · outpatient | $869.53 | $869.53 | $869.53 – $869.53 |
| 16 | Aetna ppo facility · fee schedule · outpatient | $869.53 | $869.53 | $869.53 – $869.53 |
Last updated: Dec 31, 2025
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