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
Dubuque, IA
See all hospitals reporting CPT 97165 →Price type
Mercy Medical Center - Dubuque’s median price of $7 is 96% below the median hospital's median price ($155), higher than 0% 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: 19 payers, 31 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 | Anthem wellmark ppo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 2 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 3 | Carefirst wellmark ppo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 4 | Excellus wellmark ppo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 5 | Highmark wellmark ppo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 6 | Kaiser wellmark ppo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 7 | Premera wellmark ppo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 8 | Regence wellmark ppo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 9 | Wellmark wellmark hmo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 10 | Wellmark wellmark ppo facility · fee schedule · outpatient | $6.50 | $6.50 | $6.50 – $6.50 |
| 11 | Molina molina medicaid facility · fee schedule · both | $73.29 | $73.29 | $73.29 – $73.29 |
| 12 | Molina molina medicaid facility · fee schedule · outpatient | $73.29 | $73.29 | $73.29 – $73.29 |
| 13 | Aetna aetna medicare advantage facility · fee schedule · both | $94.74 | $94.74 | $94.74 – $94.74 |
| 14 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $94.74 | $94.74 | $94.74 – $94.74 |
| 15 | Wellmark wellmark medicare advantage facility · fee schedule · both | $95.68 | $95.68 | $95.68 – $95.68 |
| 16 | Wellmark wellmark medicare advantage facility · fee schedule · outpatient | $95.68 | $95.68 | $95.68 – $95.68 |
| 17 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $96.63 | $96.63 | $96.63 – $96.63 |
| 18 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $96.63 | $96.63 | $96.63 – $96.63 |
| 19 | Oscar oscar facility · fee schedule · both | $131.88 | $131.88 | $131.88 – $131.88 |
| 20 | Oscar oscar facility · fee schedule · outpatient | $131.88 | $131.88 | $131.88 – $131.88 |
| 21 | Ambetter ambetter marketplace facility · fee schedule · both | $162.41 | $162.41 | $162.41 – $162.41 |
| 22 | Ambetter ambetter marketplace facility · fee schedule · outpatient | $162.41 | $162.41 | $162.41 – $162.41 |
| 23 | UnitedHealthcare united healthcare deere premier facility · percent of total billed charges · bothfrom % of charges | $210.82 | $210.82 | $210.82 – $210.82 |
| 24 | UnitedHealthcare united healthcare facility · case rate · both | $212.00 | $212.00 | $212.00 – $212.00 |
| 25 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $212.09 | $212.09 | $212.09 – $212.09 |
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.