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
Muskegon, MI
See all hospitals reporting CPT 97165 →Price type
Mercy Health Hackley Campus’s median price of $168 is 8% above the median hospital's median price ($155), higher than 55% 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: 21 payers, 28 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue cross complete medicaid facility · fee schedule · both | $52.93 | $52.93 | $52.93 – $52.93 |
| 2 | Molina molina medicaid facility · fee schedule · both | $53.97 | $53.97 | $53.97 – $53.97 |
| 3 | Aetna aetna medicare advantage facility · fee schedule · both | $94.88 | $94.88 | $94.88 – $94.88 |
| 4 | Blue Cross Blue Shield bcbs medicare advantage facility · fee schedule · both | $94.88 | $94.88 | $94.88 – $94.88 |
| 5 | Molina molina medicare advantage facility · fee schedule · both | $94.88 | $94.88 | $94.88 – $94.88 |
| 6 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $99.72 | $99.72 | $99.72 – $99.72 |
| 7 | Oscar oscar epo facility · fee schedule · both | $123.93 | $123.93 | $123.93 – $123.93 |
| 8 | Molina molina hmo marketplace facility · fee schedule · both | $125.87 | $125.87 | $125.87 – $125.87 |
| 9 | Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges | $132.19 | $132.19 | $132.19 – $132.19 |
| 10 | Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $153.17 | $153.17 | $153.17 – $153.17 |
| 11 | Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $153.17 | $153.17 | $153.17 – $153.17 |
| 12 | Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $153.17 | $153.17 | $153.17 – $153.17 |
| 13 | Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $153.17 | $153.17 | $153.17 – $153.17 |
| 14 | Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $153.17 | $153.17 | $153.17 – $153.17 |
| 15 | Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $153.17 | $153.17 | $153.17 – $153.17 |
| 16 | Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $153.17 | $153.17 | $153.17 – $153.17 |
| 17 | Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $153.17 | $153.17 | $153.17 – $153.17 |
| 18 | Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $153.17 | $153.17 | $153.17 – $153.17 |
| 19 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $197.51 | $197.51 | $197.51 – $197.51 |
| 20 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $197.63 | $197.63 | $197.63 – $197.63 |
| 21 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $212.89 | $212.89 | $212.89 – $212.89 |
| 22 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $235.50 | $235.50 | $235.50 – $235.50 |
| 23 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $235.50 | $235.50 | $235.50 – $235.50 |
| 24 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $247.43 | $247.43 | $247.43 – $247.43 |
| 25 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $247.43 | $247.43 | $247.43 – $247.43 |
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.