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 EVAL LOW COMPLEX 30MIN
Cheyenne, WY
See all hospitals reporting CPT 97165 →Price type
Memorial Hospital of Laramie County’s median price of $166 is 7% above the median hospital's median price ($155), higher than 54% 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: 5 payers, 17 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 | UnitedHealthcare medicare advantage case rate · outpatient | $102.46 | $102.46 | $102.46 – $102.46 |
| 2 | UnitedHealthcare medicare advantage fee schedule · both | $102.46 | $102.46 | $102.46 – $102.46 |
| 3 | Humana medicare advantage case rate · outpatient | $105.47 | $105.47 | $105.47 – $105.47 |
| 4 | Humana medicare advantage fee schedule · both | $105.47 | $105.47 | $105.47 – $105.47 |
| 5 | Bcbs Wy blue select ppo fee schedule · both | $129.00 | $129.00 | $129.00 – $129.00 |
| 6 | Bcbs Wy ppo fee schedule · both | $129.00 | $129.00 | $129.00 – $129.00 |
| 7 | Bcbs Wy blue select ppo percent of total billed charges · outpatientfrom % of charges | $137.67 | $137.67 | $137.67 – $137.67 |
| 8 | Bcbs Wy ppo percent of total billed charges · outpatientfrom % of charges | $141.44 | $141.44 | $141.44 – $141.44 |
| 9 | Cigna pos/ppo percent of total billed charges · inpatientfrom % of charges | $147.48 | $147.48 | $147.48 – $147.48 |
| 10 | UnitedHealthcare hmo/pos/ppo percent of total billed charges · inpatientfrom % of charges | $150.31 | $150.31 | $150.31 – $150.31 |
| 11 | UnitedHealthcare hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $153.70 | $153.70 | $153.70 – $153.70 |
| 12 | Cigna pos/ppo percent of total billed charges · outpatientfrom % of charges | $156.91 | $156.91 | $156.91 – $156.91 |
| 13 | Cigna pos/ppo fee schedule · both | $158.99 | $158.99 | $158.99 – $158.99 |
| 14 | Aetna pos/ppo percent of total billed charges · inpatientfrom % of charges | $165.96 | $165.96 | $165.96 – $165.96 |
| 15 | Aetna pos/ppo percent of total billed charges · outpatientfrom % of charges | $165.96 | $165.96 | $165.96 – $165.96 |
| 16 | Aetna pos/ppo percent of total billed charges · bothfrom % of charges | $230.84 | $230.84 | $230.84 – $230.84 |
| 17 | UnitedHealthcare hmo/pos/ppo fee schedule · both | $243.10 | $243.10 | $243.10 – $243.10 |
Last updated: Mar 25, 2026
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