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
Shelby, MI
See all hospitals reporting CPT 97165 →Price type
Mercy Health Lakeshore Campus’s median price of $268 is 73% above the median hospital's median price ($155), higher than 83% 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, 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 | Blue Cross Blue Shield blue cross complete medicaid facility · fee schedule · both | $71.05 | $71.05 | $71.05 – $71.05 |
| 2 | Molina molina medicaid facility · fee schedule · both | $72.44 | $72.44 | $72.44 – $72.44 |
| 3 | Blue Cross Blue Shield bcbs medicare advantage facility · percent of total billed charges · bothfrom % of charges | $76.93 | $76.93 | $76.93 – $76.93 |
| 4 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $78.50 | $78.50 | $78.50 – $78.50 |
| 5 | Oscar oscar epo facility · percent of total billed charges · bothfrom % of charges | $96.46 | $96.46 | $96.46 – $96.46 |
| 6 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $109.96 | $109.96 | $109.96 – $109.96 |
| 7 | Molina molina hmo marketplace facility · percent of total billed charges · bothfrom % of charges | $130.62 | $130.62 | $130.62 – $130.62 |
| 8 | Aetna aetna ppo and preferred facility · percent of total billed charges · bothfrom % of charges | $249.94 | $249.94 | $249.94 – $249.94 |
| 9 | Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $268.38 | $268.38 | $268.38 – $268.38 |
| 10 | Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $268.38 | $268.38 | $268.38 – $268.38 |
| 11 | Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $268.38 | $268.38 | $268.38 – $268.38 |
| 12 | Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $268.38 | $268.38 | $268.38 – $268.38 |
| 13 | Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $268.38 | $268.38 | $268.38 – $268.38 |
| 14 | Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $268.38 | $268.38 | $268.38 – $268.38 |
| 15 | Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $268.38 | $268.38 | $268.38 – $268.38 |
| 16 | Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $268.38 | $268.38 | $268.38 – $268.38 |
| 17 | Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $268.38 | $268.38 | $268.38 – $268.38 |
| 18 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $270.04 | $270.04 | $270.04 – $270.04 |
| 19 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $270.04 | $270.04 | $270.04 – $270.04 |
| 20 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $272.52 | $272.52 | $272.52 – $272.52 |
| 21 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $280.15 | $280.15 | $280.15 – $280.15 |
| 22 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $281.03 | $281.03 | $281.03 – $281.03 |
| 23 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $281.03 | $281.03 | $281.03 – $281.03 |
| 24 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $281.03 | $281.03 | $281.03 – $281.03 |
| 25 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $282.60 | $282.60 | $282.60 – $282.60 |
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.