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
Mishawaka, IN
See all hospitals reporting CPT 97165 →Price type
Mishawaka Medical Center’s median price of $195 is 25% above the median hospital's median price ($155), higher than 63% 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: 14 payers, 27 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 medicaid facility · fee schedule · both | $55.55 | $55.55 | $55.55 – $55.55 |
| 2 | Blue Cross Blue Shield medicaid facility · fee schedule · both | $55.55 | $55.55 | $55.55 – $55.55 |
| 3 | Molina medicaid facility · fee schedule · both | $55.55 | $55.55 | $55.55 – $55.55 |
| 4 | UnitedHealthcare medicaid facility · fee schedule · both | $55.55 | $55.55 | $55.55 – $55.55 |
| 5 | Anthem anthem bcbs medicare advantage facility · fee schedule · both | $95.34 | $95.34 | $95.34 – $95.34 |
| 6 | Blue Cross Blue Shield anthem bcbs healthy medicare advantage facility · fee schedule · both | $95.34 | $95.34 | $95.34 – $95.34 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $97.25 | $97.25 | $97.25 – $97.25 |
| 8 | Aetna aetna medicare advantage facility · fee schedule · both | $97.29 | $97.29 | $97.29 – $97.29 |
| 9 | Aetna aetna marketplace facility · fee schedule · both | $150.80 | $150.80 | $150.80 – $150.80 |
| 10 | Caresource caresource hmo marketplace facility · fee schedule · both | $150.80 | $150.80 | $150.80 – $150.80 |
| 11 | UnitedHealthcare united healthcare charter facility · percent of total billed charges · bothfrom % of charges | $177.55 | $177.55 | $177.55 – $177.55 |
| 12 | Anthem anthem bcbs medicaid hhw hcc facility · per diem · both | $186.46 | $186.46 | $186.46 – $186.46 |
| 13 | Anthem anthem bcbs medicaid hip facility · per diem · both | $186.46 | $186.46 | $186.46 – $186.46 |
| 14 | Caresource caresource medicaid facility · per diem · both | $186.46 | $186.46 | $186.46 – $186.46 |
| 15 | UnitedHealthcare united healthcare medicaid facility · per diem · both | $186.46 | $186.46 | $186.46 – $186.46 |
| 16 | Anthem anthem bcbs facility · fee schedule · both | $194.58 | $194.58 | $194.58 – $194.58 |
| 17 | Blue Cross Blue Shield anthem bcbs facility · fee schedule · both | $194.58 | $194.58 | $194.58 – $194.58 |
| 18 | Carefirst anthem bcbs facility · fee schedule · both | $194.58 | $194.58 | $194.58 – $194.58 |
| 19 | Excellus anthem bcbs facility · fee schedule · both | $194.58 | $194.58 | $194.58 – $194.58 |
| 20 | Highmark anthem bcbs facility · fee schedule · both | $194.58 | $194.58 | $194.58 – $194.58 |
| 21 | Premera anthem bcbs facility · fee schedule · both | $194.58 | $194.58 | $194.58 – $194.58 |
| 22 | Regence anthem bcbs facility · fee schedule · both | $194.58 | $194.58 | $194.58 – $194.58 |
| 23 | Wellmark anthem bcbs facility · fee schedule · both | $194.58 | $194.58 | $194.58 – $194.58 |
| 24 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $349.08 | $349.08 | $349.08 – $349.08 |
| 25 | Cigna sagamore facility · percent of total billed charges · bothfrom % of charges | $350.72 | $350.72 | $350.72 – $350.72 |
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.