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
OT EVAL LOW COMPLEX 30 MIN - OT Eval/Re-Eval Charges
Mobile, AL
See all hospitals reporting CPT 97165 →Price type
USA Health Children's & Women's Hospital’s median price of $111 is 29% below the median hospital's median price ($155), higher than 31% 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: 11 payers, 23 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 Al commercial facility · other · outpatient | $19.96 | $19.96 | $19.96 – $19.96 |
| 2 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $82.94 | $82.94 | $82.94 – $82.94 |
| 3 | Molina managed medicaid facility · fee schedule · outpatient | $91.23 | $91.23 | $91.23 – $91.23 |
| 4 | Bcbs Al medicare advantage facility · case rate · outpatient | $98.53 | $98.53 | $98.53 – $98.53 |
| 5 | Aetna medicare advantage facility · case rate · outpatient | $100.54 | $100.54 | $100.54 – $100.54 |
| 6 | Devoted medicare advantage facility · case rate · outpatient | $100.54 | $100.54 | $100.54 – $100.54 |
| 7 | Humana medicare advantage/hmo facility · case rate · outpatient | $100.54 | $100.54 | $100.54 – $100.54 |
| 8 | Humana medicare advantage/ppo facility · case rate · outpatient | $100.54 | $100.54 | $100.54 – $100.54 |
| 9 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $100.54 | $100.54 | $100.54 – $100.54 |
| 10 | UnitedHealthcare vaccn facility · case rate · outpatient | $100.54 | $100.54 | $100.54 – $100.54 |
| 11 | WellCare medicare advantage facility · case rate · outpatient | $100.54 | $100.54 | $100.54 – $100.54 |
| 12 | Molina medicare advantage facility · case rate · outpatient | $110.59 | $110.59 | $110.59 – $110.59 |
| 13 | Ambetter commercial/exchange facility · case rate · outpatient | $120.64 | $120.64 | $120.64 – $120.64 |
| 14 | UnitedHealthcare all payor/commercial facility · percent of total billed charges · outpatientfrom % of charges | $140.67 | $140.67 | $115.56 – $165.78 |
| 15 | UnitedHealthcare ppo/commercial facility · percent of total billed charges · outpatientfrom % of charges | $140.67 | $140.67 | $115.56 – $165.78 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $143.28 | $143.28 | $117.70 – $168.85 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $146.13 | $146.13 | $146.13 – $146.13 |
| 18 | Cigna commercial facility · case rate · outpatient | $150.00 | $150.00 | $150.00 – $150.00 |
| 19 | Cigna Healthspring medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $169.33 | $169.33 | $139.10 – $199.55 |
| 20 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $169.33 | $169.33 | $139.10 – $199.55 |
| 21 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $169.33 | $169.33 | $139.10 – $199.55 |
| 22 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $182.35 | $182.35 | $149.80 – $214.90 |
| 23 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $182.35 | $182.35 | $149.80 – $214.90 |
Last updated: Apr 30, 2026
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