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 evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or
DECATUR, TX
See all hospitals reporting CPT 97165 →Price type
Medical City Decatur’s median price of $112 is 28% below the median hospital's median price ($155), higher than 32% 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: 11 payers, 36 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $40.63 | $40.63 | $40.63 – $40.63 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $40.63 | $40.63 | $40.63 – $40.63 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $40.63 | $40.63 | $40.63 – $40.63 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $40.63 | $40.63 | $40.63 – $40.63 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $40.63 | $40.63 | $40.63 – $40.63 |
| 6 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $78.35 | $78.35 | $78.35 – $78.35 |
| 7 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $81.25 | $81.25 | $81.25 – $81.25 |
| 8 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $91.93 | $91.93 | $86.06 – $97.79 |
| 9 | Humana mgmcr fee schedule · outpatient | $92.14 | $92.14 | $86.26 – $98.02 |
| 10 | UnitedHealthcare mgmcr fee schedule · outpatient | $92.14 | $92.14 | $86.26 – $98.02 |
| 11 | Aetna mcr fee schedule · outpatient | $92.92 | $92.92 | $86.99 – $98.85 |
| 12 | WellCare mgmcr fee schedule · outpatient | $94.91 | $94.91 | $88.85 – $100.96 |
| 13 | Molina mcr fee schedule · outpatient | $100.43 | $100.43 | $94.02 – $106.84 |
| 14 | Molina mme fee schedule · outpatient | $100.43 | $100.43 | $94.02 – $106.84 |
| 15 | Molina mmp fee schedule · outpatient | $100.43 | $100.43 | $94.02 – $106.84 |
| 16 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $102.15 | $102.15 | $102.15 – $102.15 |
| 17 | Aetna qhphix per diem · outpatient | $106.00 | $106.00 | $106.00 – $106.00 |
| 18 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $120.72 | $120.72 | $120.72 – $120.72 |
| 19 | Aetna newbusiness per diem · outpatient | $143.00 | $143.00 | $143.00 – $143.00 |
| 20 | Aetna comm per diem · outpatient | $155.00 | $155.00 | $155.00 – $155.00 |
| 21 | Aetna meritain per diem · outpatient | $155.00 | $155.00 | $155.00 – $155.00 |
| 22 | Aetna oon per diem · outpatient | $179.00 | $179.00 | $179.00 – $179.00 |
| 23 | Healthcare Highways cityofplano percent of total billed charges · outpatientfrom % of charges | $196.17 | $196.17 | $196.17 – $196.17 |
| 24 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $219.43 | $219.43 | $219.43 – $219.43 |
| 25 | Molina hix fee schedule · outpatient | $241.41 | $241.41 | $226.00 – $256.81 |
Last updated: Mar 1, 2026
See Occupational therapy evaluation, low complexity, 30 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.