Occupational therapy evaluation, low complexity, 30 minutes at University Medical Center of Southern Nevada

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OT EVAL LOW COMPLEX 30 MIN

Las Vegas, NV

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Pricing by billing methodology

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How this price compares nationally

University Medical Center of Southern Nevada’s median price of $147 is 5% below the median hospital's median price ($155), higher than 46% of the 2,514 hospitals reporting CPT 97165. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97165 at University Medical Center of Southern Nevada

Negotiated rates from the hospital’s own file: 8 payers, 42 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	Bcbs Nv anthem medicaid other · both	$68.34	$68.34	$68.34 – $68.34
2	Molina medicaid fee schedule · both	$68.34	$68.34	$68.34 – $68.34
3	Cigna all plans fee schedule · outpatient	$83.39	$83.39	$83.39 – $83.39
4	Cigna generic fee schedule · outpatient	$83.39	$83.39	$83.39 – $83.39
5	Cigna healthpartners fee schedule · outpatient	$83.39	$83.39	$83.39 – $83.39
6	Kaiser hawaii fee schedule · outpatient	$83.39	$83.39	$83.39 – $83.39
7	Kaiser northern ca fee schedule · outpatient	$83.39	$83.39	$83.39 – $83.39
8	Kaiser posppo fee schedule · outpatient	$83.39	$83.39	$83.39 – $83.39
9	Kaiser southern ca fee schedule · outpatient	$83.39	$83.39	$83.39 – $83.39
10	Bcbs Nv anthem federal fee schedule · outpatient	$114.14	$114.14	$114.14 – $114.14
11	Bcbs Nv anthem hmo fee schedule · outpatient	$114.14	$114.14	$114.14 – $114.14
12	Bcbs Nv anthem ppo fee schedule · outpatient	$114.14	$114.14	$114.14 – $114.14
13	Bcbs Nv generic fee schedule · outpatient	$114.14	$114.14	$114.14 – $114.14
14	Aetna qhp gatekeeper fee schedule · both	$155.07	$155.07	$155.07 – $155.07
15	Aetna generic fee schedule · both	$168.36	$168.36	$168.36 – $168.36
16	Aetna hmo fee schedule · both	$168.36	$168.36	$168.36 – $168.36
17	Aetna meritain fee schedule · both	$168.36	$168.36	$168.36 – $168.36
18	Aetna ppo fee schedule · both	$168.36	$168.36	$168.36 – $168.36
19	Aetna src student fee schedule · both	$168.36	$168.36	$168.36 – $168.36
20	First Health all plans fee schedule · both	$196.71	$196.71	$196.71 – $196.71
21	UnitedHealthcare all plans fee schedule · outpatient	$202.76	$202.76	$82.52 – $323.00
22	UnitedHealthcare generic fee schedule · outpatient	$202.76	$202.76	$82.52 – $323.00
23	UnitedHealthcare golden rule fee schedule · outpatient	$202.76	$202.76	$82.52 – $323.00
24	UnitedHealthcare oxford health fee schedule · outpatient	$202.76	$202.76	$82.52 – $323.00
25	UnitedHealthcare umr fee schedule · outpatient	$202.76	$202.76	$82.52 – $323.00

Page 1 of 2 · 42 rates

Last updated: Jul 1, 2026

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