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
Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family.
Houston, TX
See all hospitals reporting CPT 97165 →Price type
Mhhs Imaging Center’s median price of $140 is 10% below the median hospital's median price ($155), higher than 44% 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: 6 payers, 18 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 uhc nexus facility · case rate · outpatient | $61.00 | $61.00 | $61.00 – $61.00 |
| 2 | UnitedHealthcare uhc hmo facility · case rate · outpatient | $67.00 | $67.00 | $67.00 – $67.00 |
| 3 | Aetna aetna multi-tier pos/epo facility · case rate · outpatient | $71.00 | $71.00 | $71.00 – $71.00 |
| 4 | Aetna aetna multi-tier hmo facility · case rate · outpatient | $72.78 | $72.78 | $72.78 – $72.78 |
| 5 | Aetna aetna pos facility · case rate · outpatient | $76.00 | $76.00 | $76.00 – $76.00 |
| 6 | Aetna aetna hmo facility · case rate · outpatient | $79.40 | $79.40 | $79.40 – $79.40 |
| 7 | UnitedHealthcare uhc ppo facility · case rate · outpatient | $110.00 | $110.00 | $110.00 – $110.00 |
| 8 | Humana humana hmox facility · case rate · outpatient | $140.00 | $140.00 | $140.00 – $140.00 |
| 9 | Bcbs Tx bcbs blue advantage hmo (bav) facility · case rate · outpatient | $196.19 | $196.19 | $196.19 – $196.19 |
| 10 | Bcbs Tx bcbs my blue health (mbh) facility · case rate · outpatient | $196.19 | $196.19 | $196.19 – $196.19 |
| 11 | Cigna cigna surefit facility · case rate · outpatient | $198.00 | $198.00 | $198.00 – $198.00 |
| 12 | Healthcare Highways healthcare highways facility · case rate · outpatient | $205.00 | $205.00 | $205.00 – $205.00 |
| 13 | Cigna cigna facility · case rate · outpatient | $228.00 | $228.00 | $228.00 – $228.00 |
| 14 | Bcbs Tx bcbs hmo blue essentials facility · case rate · outpatient | $260.34 | $260.34 | $260.34 – $260.34 |
| 15 | Bcbs Tx bcbs high performance network (hpn) facility · case rate · outpatient | $268.71 | $268.71 | $268.71 – $268.71 |
| 16 | Bcbs Tx bcbs hmo blue premier facility · case rate · outpatient | $268.71 | $268.71 | $268.71 – $268.71 |
| 17 | Bcbs Tx bcbs ppo/pos facility · case rate · outpatient | $306.83 | $306.83 | $306.83 – $306.83 |
| 18 | Humana humana ppo facility · case rate · outpatient | $435.00 | $435.00 | $435.00 – $435.00 |
Last updated: Nov 6, 2024
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.