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
HC Ot Evaluation Low Complexity Patient/Family
Stafford Springs, CT
See all hospitals reporting CPT 97165 →Price type
Johnson Memorial Hospital’s median price of $314 is 102% above the median hospital's median price ($155), higher than 89% 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: 16 payers, 24 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 | Aetna aetna medicare advantage facility · fee schedule · both | $103.80 | $103.80 | $103.80 – $103.80 |
| 2 | Anthem anthem mediblue medicare advantage facility · fee schedule · both | $103.80 | $103.80 | $103.80 – $103.80 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $103.80 | $103.80 | $103.80 – $103.80 |
| 4 | WellCare wellcare medicare advantage facility · fee schedule · both | $103.80 | $103.80 | $103.80 – $103.80 |
| 5 | Cigna cigna medicare advantage facility · fee schedule · both | $106.92 | $106.92 | $106.92 – $106.92 |
| 6 | Aetna aetna whole health facility · percent of total billed charges · bothfrom % of charges | $205.92 | $205.92 | $205.92 – $205.92 |
| 7 | Anthem anthem individual pathway hmo ppo facility · fee schedule · both | $243.18 | $243.18 | $243.18 – $243.18 |
| 8 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $257.40 | $257.40 | $257.40 – $257.40 |
| 9 | Cigna evernorth facility · percent of total billed charges · bothfrom % of charges | $257.40 | $257.40 | $257.40 – $257.40 |
| 10 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $273.90 | $273.90 | $273.90 – $273.90 |
| 11 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $273.90 | $273.90 | $273.90 – $273.90 |
| 12 | Anthem anthem bluecare prime facility · fee schedule · both | $282.40 | $282.40 | $282.40 – $282.40 |
| 13 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $301.16 | $301.16 | $301.16 – $301.16 |
| 14 | Anthem anthem facility · fee schedule · both | $313.78 | $313.78 | $313.78 – $313.78 |
| 15 | Blue Cross Blue Shield anthem facility · fee schedule · both | $313.78 | $313.78 | $313.78 – $313.78 |
| 16 | Carefirst anthem facility · fee schedule · both | $313.78 | $313.78 | $313.78 – $313.78 |
| 17 | Excellus anthem facility · fee schedule · both | $313.78 | $313.78 | $313.78 – $313.78 |
| 18 | Highmark anthem facility · fee schedule · both | $313.78 | $313.78 | $313.78 – $313.78 |
| 19 | Kaiser anthem facility · fee schedule · both | $313.78 | $313.78 | $313.78 – $313.78 |
| 20 | Premera anthem facility · fee schedule · both | $313.78 | $313.78 | $313.78 – $313.78 |
| 21 | Regence anthem facility · fee schedule · both | $313.78 | $313.78 | $313.78 – $313.78 |
| 22 | Wellmark anthem facility · fee schedule · both | $313.78 | $313.78 | $313.78 – $313.78 |
| 23 | Optum united healthcare behavioral health facility · percent of total billed charges · bothfrom % of charges | $330.00 | $330.00 | $330.00 – $330.00 |
| 24 | UnitedHealthcare united healthcare facility · per diem · both | $369.00 | $369.00 | $369.00 – $369.00 |
Last updated: Mar 31, 2026
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