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 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS
Middlebury, VT
See all hospitals reporting CPT 97165 →Price type
Porter Hospital Inc’s median price of $189 is 21% above the median hospital's median price ($155), higher than 62% 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, 10 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 managed medicaid/essential plans facility · fee schedule · outpatient | $87.33 | $87.33 | $87.33 – $87.33 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $184.71 | $184.71 | $184.71 – $184.71 |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $184.71 | $184.71 | $184.71 – $184.71 |
| 4 | Bcbs Vt medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $188.64 | $188.64 | $188.64 – $188.64 |
| 5 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $306.54 | $306.54 | $306.54 – $306.54 |
| 6 | Bcbs Vt indemnity facility · fee schedule · outpatient | $328.14 | $328.14 | $328.14 – $328.14 |
| 7 | Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient | $328.14 | $328.14 | $328.14 – $328.14 |
| 8 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $357.43 | $357.43 | $357.43 – $357.43 |
| 9 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $373.35 | $373.35 | $373.35 – $373.35 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $389.07 | $389.07 | $389.07 – $389.07 |
Last updated: Apr 28, 2026
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