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
Hartford, CT
See all hospitals reporting CPT 97165 →Price type
Mount Sinai Rehabilitation Hospital, Inc’s median price of $392 is 152% above the median hospital's median price ($155), higher than 95% 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: 15 payers, 22 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna aetna medicare advantage facility · fee schedule · both | $103.80 | $103.80 | $103.80 – $103.80 |
| 2 | Anthem anthem mediblue medicare advantage facility · fee schedule · both | $103.80 | $103.80 | $103.80 – $103.80 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $103.80 | $103.80 | $103.80 – $103.80 |
| 4 | Cigna cigna medicare advantage facility · fee schedule · both | $106.92 | $106.92 | $106.92 – $106.92 |
| 5 | WellCare wellcare medicare advantage facility · fee schedule · both | $108.04 | $108.04 | $108.04 – $108.04 |
| 6 | UnitedHealthcare united healthcare facility · per diem · both | $223.55 | $223.55 | $223.55 – $223.55 |
| 7 | Aetna aetna whole health facility · case rate · both | $239.20 | $239.20 | $239.20 – $239.20 |
| 8 | Aetna aetna facility · case rate · both | $299.00 | $299.00 | $299.00 – $299.00 |
| 9 | Anthem anthem individual pathway hmo ppo facility · fee schedule · both | $304.06 | $304.06 | $304.06 – $304.06 |
| 10 | Anthem anthem bluecare prime facility · fee schedule · both | $353.10 | $353.10 | $353.10 – $353.10 |
| 11 | Anthem anthem facility · fee schedule · both | $392.33 | $392.33 | $392.33 – $392.33 |
| 12 | Blue Cross Blue Shield anthem facility · fee schedule · both | $392.33 | $392.33 | $392.33 – $392.33 |
| 13 | Carefirst anthem facility · fee schedule · both | $392.33 | $392.33 | $392.33 – $392.33 |
| 14 | Excellus anthem facility · fee schedule · both | $392.33 | $392.33 | $392.33 – $392.33 |
| 15 | Highmark anthem facility · fee schedule · both | $392.33 | $392.33 | $392.33 – $392.33 |
| 16 | Kaiser anthem facility · fee schedule · both | $392.33 | $392.33 | $392.33 – $392.33 |
| 17 | Premera anthem facility · fee schedule · both | $392.33 | $392.33 | $392.33 – $392.33 |
| 18 | Regence anthem facility · fee schedule · both | $392.33 | $392.33 | $392.33 – $392.33 |
| 19 | Wellmark anthem facility · fee schedule · both | $392.33 | $392.33 | $392.33 – $392.33 |
| 20 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $509.32 | $509.32 | $509.32 – $509.32 |
| 21 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $509.32 | $509.32 | $509.32 – $509.32 |
| 22 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $674.85 | $674.85 | $674.85 – $674.85 |
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.