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Evaluation for Occupational Therapy, Typically 1 Hour Cost

How much does this cost without insurance? Compare published self-pay cash prices and insurance-negotiated rates for CPT 97167 across 2,961 US facilities. Dataset: Q4 2026.

📊 $277 median cash 📉 $24.00 low 📈 $3,698 high 🏥 2,961 hospitals 🇺🇸 Medicare $104

A Evaluation for occupational therapy, typically 1 hour (CPT 97167, Doctor Visits) can cost very different amounts depending on which hospital you choose and how you pay. Across the 2,961 U.S. facilities that publish a cash self-pay price for this procedure, rates run from $24.00 at the low end to $3,698 at the most expensive — a national median of roughly $277. For comparison, Medicare reimburses about $104 for the same code. The breakdown below shows typical charges state by state, so you can gauge what to expect near you, weigh cash rates against insurance-negotiated prices, and flag any facility charging far above the norm before you schedule.

State-by-state pricing

Click any state for facility-by-facility prices.

StateHospitalsAvg cashLowHigh
Texas 299 $523 $33.75 $3,065
California 172 $473 $52.35 $2,746
Florida 143 $712 $47.00 $3,698
Illinois 120 $360 $42.50 $2,176
Ohio 112 $314 $96.00 $829
New York 99 $431 $52.16 $1,656
North Carolina 93 $263 $90.35 $710
Missouri 87 $247 $43.65 $1,090
Minnesota 86 $247 $75.40 $534
Georgia 85 $355 $51.81 $1,669
Colorado 80 $486 $121 $1,968
Wisconsin 80 $296 $59.80 $558
Louisiana 78 $224 $32.89 $1,607
Pennsylvania 75 $329 $69.20 $1,193
Tennessee 75 $274 $51.81 $1,558
Kentucky 74 $258 $67.87 $889
Virginia 66 $387 $77.74 $1,405
Michigan 64 $309 $65.33 $1,397
Nebraska 62 $235 $101 $478
Oklahoma 61 $192 $24.00 $595
Washington 61 $308 $118 $839
Iowa 60 $217 $96.48 $407
Indiana 60 $228 $25.06 $484
Kansas 57 $358 $44.80 $3,087
New Jersey 54 $495 $49.50 $1,656
Utah 52 $388 $94.53 $592
Massachusetts 48 $549 $122 $1,268
Mississippi 44 $168 $51.00 $430
Arkansas 43 $165 $48.61 $430
South Carolina 42 $387 $91.34 $1,267
Alabama 40 $312 $48.00 $789
Oregon 37 $281 $153 $563
Montana 33 $233 $101 $461
South Dakota 31 $371 $225 $626
Maine 28 $275 $30.00 $676
West Virginia 28 $272 $86.50 $568
North Dakota 27 $339 $168 $569
Arizona 26 $504 $109 $1,198
Nevada 26 $440 $100 $1,040
Idaho 22 $342 $136 $996
New Hampshire 21 $374 $75.60 $798
Connecticut 18 $419 $136 $740
New Mexico 17 $356 $63.00 $1,287
Maryland 15 $253 $48.78 $1,194
Wyoming 11 $267 $105 $437
Hawaii 9 $359 $279 $579
Alaska 8 $626 $412 $1,066
Delaware 8 $448 $249 $1,151
Rhode Island 8 $186 $103 $308
Vermont 7 $361 $163 $548
Washington D.C. 5 $449 $224 $663
Puerto Rico 4 $181 $75.00 $232

Related procedures in Doctor Visits

About this procedure. CPT code 97167 (Doctor Visits). Pricing varies by facility, location, and payer. Cash prices listed are self-pay rates published by each provider. Insurance-negotiated rates cover seven major payers. Data sourced from CMS Hospital Price Transparency. Always verify with the facility before booking.