Evaluation for Occupational Therapy, Typically 1 Hour Cost in Arizona
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 26 Arizona hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Arizona
Sorted by cash price (lowest first). Showing top 26 of 26 hospitals.
| Hospital | Cash | Aetna | UHC | Humana | Cigna | BCBS | MultiPlan | Centene | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| TUCSON MEDICAL CENTER TUCSON |
$109 | $184 | $55.87 | $97.97 | $171 | $96.52 | — | — | — |
| DIGNITY HEALTH ARIZONA GENERAL HOSPITAL - LAVEEN LAVEEN |
$122 | $321 | $107 | — | — | $242 | $436 | — | — |
| DIGNITY HEALTH ARIZONA GENERAL HOSPITAL - MESA MESA |
$132 | $321 | $107 | — | — | $242 | $436 | — | — |
| NORTHERN COCHISE COMMUNITY HOSPITAL WILLCOX |
$163 | $163 | $120 | — | $169 | — | — | — | $89.76 |
| WICKENBURG COMMUNITY HOSPITAL WICKENBURG |
$182 | $30.00 | $60.00 | $30.00 | $44.60 | $100 | — | $100 | — |
| LITTLE COLORADO MEDICAL CENTER WINSLOW |
$184 | $19.00 | $20.00 | $95.00 | — | $85.00 | — | — | — |
| BENSON HOSPITAL BENSON |
$190 | $91.20 | $91.20 | $91.20 | $256 | $91.20 | — | — | — |
| WHITE MOUNTAIN REGIONAL MEDICAL CENTER SPRINGERVILLE |
$201 | — | — | — | — | — | — | — | — |
| ST. JOSEPH'S HOSPITAL MEDICAL CENTER PHOENIX |
$225 | $424 | $102 | — | $280 | — | $423 | — | $374 |
| ST JOSEPH'S WESTGATE MEDICAL CENTER GLENDALE |
$225 | $334 | $107 | — | $129 | — | $476 | — | — |
| MAYO CLINIC ARIZONA PHOENIX |
$278 | — | — | — | — | — | — | — | — |
| YAVAPAI REGIONAL MEDICAL CENTER WEST PRESCOTT |
$301 | $365 | $107 | $107 | $345 | $346 | — | — | $107 |
| CITY OF HOPE PHOENIX CANCER HOSPITAL GOODYEAR |
$306 | $125 | $88.27 | $99.17 | $157 | $99.17 | — | $85.62 | — |
| EXALT HEALTH INPATIENT REHABILITATION HOSPITAL SCOTTSDALE N SCOTTSDALE RD. SCOTTSDALE |
$328 | — | — | — | — | — | — | — | — |
| SUMMIT HEALTHCARE ASSOCIATION SHOW LOW |
$439 | — | — | — | — | — | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF SURPRISE WEST BELL ROAD SURPRISE |
$474 | $84.00 | $75.00 | $75.00 | $92.00 | $98.98 | $285 | $66.94 | — |
| HAVASU REGIONAL MEDICAL CENTER LAKE HAVASU CITY |
$479 | $68.40 | $81.60 | $101 | $95.00 | $75.00 | $90.00 | $100 | $88.30 |
| LA PAZ REGIONAL PARKER |
$596 | $25.00 | $24.00 | $19.00 | $19.00 | $19.00 | — | $19.00 | $19.00 |
| VALLEY VIEW MEDICAL CENTER FORT MOHAVE |
$788 | $52.70 | $48.50 | $70.30 | $47.70 | $100 | $65.00 | $102 | $65.00 |
| ABRAZO SURPRISE HOSPITAL SURPRISE |
$862 | — | — | $344 | — | — | — | — | — |
| ABRAZO ARIZONA HEART HOSPITAL PHOENIX |
$862 | — | — | $344 | — | — | — | — | — |
| ABRAZO ARROWHEAD CAMPUS GLENDALE |
$862 | — | — | $344 | — | — | — | — | — |
| CARONDELET ST. MARY'S HOSPITAL TUCSON |
$1,198 | — | — | — | — | — | — | — | — |
| CARONDELET HOLY CROSS HOSPITAL NOGALES |
$1,198 | — | — | — | — | — | — | — | — |
| CARONDELET MARANA HOSPITAL TUCSON |
$1,198 | — | — | $372 | — | — | — | — | — |
| CARONDELET ST. JOSEPH'S HOSPITAL TUCSON |
$1,198 | — | — | — | — | — | — | — | — |
That is the median of what the 26 Arizona hospitals above publish for Evaluation for occupational therapy, typically 1 hour — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 97167 in Arizona, Medicare reimburses about $98.98 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Arizona range from $109 to $1,198 — that means hospital cash prices are typically 3.1x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does evaluation for occupational therapy, typically 1 hour cost in Arizona?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Arizona range from $109 to $1,198, with a median of $306. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Arizona?
- The cheapest Arizona hospital published cash price for this procedure is $109. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.