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
Darby, PA
See all hospitals reporting CPT 97165 →Price type
Mercy Fitzgerald Hospital’s median price of $449 is 189% above the median hospital's median price ($155), higher than 97% 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, 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $73.50 | $73.50 | $73.50 – $73.50 |
| 2 | UnitedHealthcare uhc community plan medicaid facility · fee schedule · both | $101.37 | $101.37 | $101.37 – $101.37 |
| 3 | Blue Cross Blue Shield independence blue cross medicare adv facility · fee schedule · both | $104.04 | $104.04 | $104.04 – $104.04 |
| 4 | Cigna cigna healthspring medicare advantage facility · fee schedule · both | $105.02 | $105.02 | $105.02 – $105.02 |
| 5 | Devoted devoted health medicare advantage facility · fee schedule · both | $106.64 | $106.64 | $106.64 – $106.64 |
| 6 | Aetna aetna medicare advantage facility · fee schedule · both | $110.12 | $110.12 | $110.12 – $110.12 |
| 7 | Highmark highmark wholecare medicare advantage facility · fee schedule · both | $119.65 | $119.65 | $119.65 – $119.65 |
| 8 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $132.30 | $132.30 | $132.30 – $132.30 |
| 9 | UnitedHealthcare united healthcare options facility · percent of total billed charges · bothfrom % of charges | $137.13 | $137.13 | $137.13 – $137.13 |
| 10 | Cigna cigna exchange facility · per diem · both | $157.50 | $157.50 | $157.50 – $157.50 |
| 11 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $158.76 | $158.76 | $158.76 – $158.76 |
| 12 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $172.20 | $172.20 | $172.20 – $172.20 |
| 13 | Cigna cigna facility · per diem · both | $184.00 | $184.00 | $184.00 – $184.00 |
| 14 | Ambetter ambetter marketplace facility · fee schedule · both | $185.71 | $185.71 | $185.71 – $185.71 |
| 15 | Oscar oscar medicare advantage facility · fee schedule · both | $187.27 | $187.27 | $187.27 – $187.27 |
| 16 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $210.00 | $210.00 | $210.00 – $210.00 |
| 17 | Highmark highmark health plan facility · fee schedule · both | $281.32 | $281.32 | $281.32 – $281.32 |
| 18 | Anthem independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 19 | Blue Cross Blue Shield independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 20 | Carefirst independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 21 | Excellus independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 22 | Highmark independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 23 | Premera independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 24 | Regence independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 25 | Wellmark independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
Last updated: Mar 31, 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.