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
TH-OT EVAL LOW COMPLEX 30 MIN
Margaretville, NY
See all hospitals reporting CPT 97165 →Price type
Margaretville Memorial Hospital’s median price of $222 is 43% above the median hospital's median price ($155), higher than 71% 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: 9 payers, 22 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 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · fee schedule · outpatient | $73.77 | $73.77 | $73.77 – $73.77 |
| 2 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $73.77 | $73.77 | $73.77 – $73.77 |
| 3 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $73.77 | $73.77 | $73.77 – $73.77 |
| 4 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $150.00 | $150.00 | $150.00 – $150.00 |
| 5 | UnitedHealthcare uhc commercial facility · per diem · outpatient | $176.00 | $176.00 | $176.00 – $176.00 |
| 6 | UnitedHealthcare uhc empire facility · per diem · outpatient | $176.00 | $176.00 | $176.00 – $176.00 |
| 7 | Aetna aetna hp network facility · per diem · outpatient | $189.00 | $189.00 | $189.00 – $189.00 |
| 8 | Aetna aetna facility · per diem · outpatient | $210.00 | $210.00 | $210.00 – $210.00 |
| 9 | Aetna aetna employee facility · per diem · outpatient | $210.00 | $210.00 | $210.00 – $210.00 |
| 10 | Aetna aetna medicare facility · fee schedule · outpatient | $221.76 | $221.76 | $221.76 – $221.76 |
| 11 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $221.76 | $221.76 | $221.76 – $221.76 |
| 12 | Excellus excellus blue cross facility · fee schedule · outpatient | $221.76 | $221.76 | $221.76 – $221.76 |
| 13 | Excellus excellus medicare blue dual facility · fee schedule · outpatient | $221.76 | $221.76 | $221.76 – $221.76 |
| 14 | Medicare medicare facility · fee schedule · outpatient | $221.76 | $221.76 | $221.76 – $221.76 |
| 15 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $221.76 | $221.76 | $221.76 – $221.76 |
| 16 | WellCare wellcare medicare facility · fee schedule · outpatient | $221.76 | $221.76 | $221.76 – $221.76 |
| 17 | Molina affinity by molina mcr facility · fee schedule · outpatient | $232.85 | $232.85 | $232.85 – $232.85 |
| 18 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $307.44 | $307.44 | $307.44 – $307.44 |
| 19 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $413.28 | $413.28 | $413.28 – $413.28 |
| 20 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $413.28 | $413.28 | $413.28 – $413.28 |
| 21 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $453.60 | $453.60 | $453.60 – $453.60 |
| 22 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $453.60 | $453.60 | $453.60 – $453.60 |
Last updated: Jun 24, 2026
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