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 Moderate Complexity Patient/Family
Columbus, OH
See all hospitals reporting CPT 97166 →Price type
Mount Carmel East’s median price of $312 is 87% above the median hospital's median price ($167), higher than 85% of the 2,556 hospitals reporting CPT 97166. 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, 38 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 aetna neighborhood narrow network facility · per diem · both | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Aetna aetna medicare advantage facility · fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 3 | Anthem anthem bcbs medicare advantage facility · fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Aetna aetna facility · per diem · both | $96 | $96 | — | — | — | $96 – $96 |
| 5 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 6 | Medical Mutual medical mutual medicare advantage facility · fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 7 | Aetna aetna better health medicare advantage facility · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 8 | Molina molina medicare advantage facility · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 9 | Caresource caresource medicare advantage facility · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 10 | Anthem anthem bcbs pathway grp hmo facility · fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 11 | Anthem anthem blue access ppo blue pref hmo facility · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 12 | Blue Cross Blue Shield anthem blue access ppo blue pref hmo facility · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 13 | Carefirst anthem blue access ppo blue pref hmo facility · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 14 | Excellus anthem blue access ppo blue pref hmo facility · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 15 | Highmark anthem blue access ppo blue pref hmo facility · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 16 | Premera anthem blue access ppo blue pref hmo facility · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 17 | Regence anthem blue access ppo blue pref hmo facility · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 18 | Wellmark anthem blue access ppo blue pref hmo facility · fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 19 | Oscar oscar facility · fee schedule · both | $160 | $160 | — | — | — | $160 – $160 |
| 20 | Anthem anthem bcbs pathway hmo facility · fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 21 | UnitedHealthcare united healthcare exchange facility · per diem · both | $172 | $172 | — | — | — | $172 – $172 |
| 22 | Medical Mutual medical mutual medflex facility · fee schedule · both | $176 | $176 | — | — | — | $176 – $176 |
| 23 | Cigna cigna facility · per diem · both | $232 | $232 | — | — | — | $232 – $232 |
| 24 | Medical Mutual medical mutual oh supermed ppo pos hmo facility · fee schedule · both | $245 | $245 | — | — | — | $245 – $245 |
| 25 | UnitedHealthcare united healthcare ppo facility · per diem · both | $283 | $283 | — | — | — | $283 – $283 |
Last updated: Mar 31, 2026
See Occupational therapy evaluation, moderate complexity, 45 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.