Occupational therapy evaluation, moderate complexity, 45 minutes at Holy Cross Hospital-Silver Spring

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

HC Ot Evaluation Moderate Complexity Patient/Family 90 Minutes Restricted (Mdpl Gtpl)

Silver Spring, MD

See all hospitals reporting CPT 97166 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $435 is 161% above the median hospital's median price ($167), higher than 95% of the 2,519 hospitals reporting CPT 97166. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97166 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 15 payers, 26 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.

Filter by billing methodology

Filter by billing class

#
1	Cigna cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges	$453	$453	$221	49%	—	$129 – $776
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$463	$463	$226	49%	—	$132 – $794
3	Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges	$463	$463	$226	49%	—	$132 – $794
4	Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges	$463	$463	$226	49%	—	$132 – $794
5	Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$466	$466	$227	49%	—	$133 – $799
6	UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$466	$466	$227	49%	—	$133 – $799
7	Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges	$471	$471	$230	49%	—	$135 – $808
8	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$473	$473	$231	49%	32	$135 – $811
9	Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges	$476	$476	$232	49%	—	$136 – $817
10	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$484	$484	$236	49%	—	$138 – $829
11	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
12	Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
13	Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
14	Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
16	Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
17	Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
18	Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
19	Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
20	Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	6–60	$144 – $862
22	Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$503	$503	$245	49%	—	$144 – $862
23	Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges	$508	$508	$248	49%	—	$145 – $870
24	Humana humana facility · percent of total billed charges · bothfrom % of charges	$508	$508	$248	49%	—	$145 – $870
25	Humana humana military facility · percent of total billed charges · bothfrom % of charges	$508	$508	$248	49%	—	$145 – $870

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

Compare to other hospitals

See Occupational therapy evaluation, moderate complexity, 45 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.