Evaluation for Occupational Therapy, Typically 1 Hour Cost in California

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 174 California hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $419 📉 Low $6.60 📈 High $2,746 🏥 174 hospitals 🏛️ 129 with insurance contracts 🇺🇸 Medicare $111

Hospital comparison — California

Sorted by cash price (lowest first). Showing top 60 of 174 hospitals.

Billed more than $419 for this? That gap is evidence. Build my dispute letter
HospitalCashHealth NetKaiserAetnaBCBSUHCMultiPlanCignaMolina
UCSF BENIOFF CHILDREN'S HOSPITAL SAN FRANCISCO
SAN FRANCISCO
$6.60 ———$132$127———
UCSF LANGLEY PORTER PSYCHIATRIC HOSPITAL - MOUNT ZION
7TH FLOOR
$6.60 ———$132$127———
EISENHOWER MEDICAL CENTER
RANCHO MIRAGE
$52.35 ————————
SCRIPPS MERCY HOSPITAL CHULA VISTA
CHULA VISTA
$64.37 ————————
SCRIPPS MEMORIAL HOSPITAL LA JOLLA
LA JOLLA
$64.37 ————————
SCRIPPS MEMORIAL HOSPITAL ENCINITAS
ENCINITAS
$64.37 ————————
SCRIPPS GREEN HOSPITAL
LA JOLLA
$64.37 ————————
SCRIPPS MERCY HOSPITAL
SAN DIEGO
$64.37 ————————
SHASTA REGIONAL MEDICAL CENTER
REDDING
$94.00 $94.32—$121$94.32————
MONTCLAIR HOSPITAL MEDICAL CENTER
MONTCLAIR
$106 $106——$126———$106
CHINO VALLEY MEDICAL CENTER
CHINO
$106 $106—$136$106———$106
PARADISE VALLEY HOSPITAL
NATIONAL CITY
$111 $112—$126$112$112——$112
ST. FRANCIS MEDICAL CENTER
LYNWOOD
$111 $111$111$167$111$111$142—$111
LA PALMA INTERCOMMUNITY HOSPITAL
LA PALMA
$111 $111—$142$111———$111
WEST ANAHEIM MEDICAL CENTER
ANAHEIM
$111 $111—$142$111———$111
CENTINELA HOSPITAL MEDICAL CENTER
INGLEWOOD
$111 $111—$142$111—$147—$111
SHERMAN OAKS HOSPITAL
SHERMAN OAKS
$111 $111—$142$111—$130—$111
ENCINO HOSPITAL MEDICAL CENTER
ENCINO
$111 $111—$142$111—$142—$111
GARDEN GROVE HOSPITAL AND MEDICAL CENTER
GARDEN GROVE
$111 $111—$142$111———$111
HUNTINGTON BEACH HOSPITAL
HUNTINGTON BEACH
$111 $111——$111———$111
SAN DIMAS COMMUNITY HOSPITAL
SAN DIMAS
$111 $111—$142$111$111——$111
KAWEAH HEALTH MEDICAL CENTER
W MINERAL KING AVE VISALIA
$150 $89.20—$60.60$100$100—$75.00—
OROVILLE HOSPITAL
OROVILLE
$159 $254—$110$308$110$254$254—
ANAHEIM COMMUNITY HOSPITAL
ANAHEIM
$189 ————————
RIVERSIDE UNIVERSITY HEALTH SYSTEM MEDICAL CENTER
CACTUS AVENUE MORENO VALLEY
$192 ————————
PROVIDENCE CEDARS-SINAI TARZANA MEDICAL CENTER
TARZANA
$196 $206—$111—————
JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS
WALNUT CREEK
$199 ————————
PROVIDENCE ST. JOHN'S HEALTH CENTER
SANTA MONICA
$202 $206—$111$202————
EL CAMINO HOSPITAL LOS GATOS
LOS GATOS
$204 ————————
CORONA REGIONAL MEDICAL CENTER
CORONA
$207 —$168$154—$259$466$186$136
SOUTHWEST HEALTHCARE RANCHO SPRINGS HOSPITAL
TEMECULA
$207 —$154$154—$180$466$186—
ST. JOHN'S HOSPITAL CAMARILLO
CAMARILLO
$211 —$316$251$509$509$407$1,834—
MEMORIALCARE MILLER CHILDRENS AND WOMENS HOSPITAL
LONG BEACH
$213 ———$117———$181
MEMORIALCARE SADDLEBACK MEDICAL CENTER
LAGUNA HILLS
$213 ——$111$109————
MEMORIALCARE ORANGE COAST MEDICAL CENTER
FOUNTAIN VALLEY
$213 ———$109———$115
MEMORIALCARE LONG BEACH MEDICAL CENTER
LONG BEACH
$213 ——$111$117———$115
UCI HEALTH - LAKEWOOD
LAKEWOOD
$217 $114$128$111$117————
PROVIDENCE HOLY CROSS MEDICAL CENTER
MISSION HILLS
$220 $206—$111—————
USC ARCADIA HOSPITAL
W HUNTINGTON DRIVE ARCADIA
$220 $53.13$100$100$18.55$100$63.00$54.40$100
EASTERN PLUMAS HOSPITAL-LOYALTON CAMPUS
ST AVENUE POROLA
$222 ————————
ST. JOHN'S REGIONAL MEDICAL CENTER
OXNARD
$223 —$316$128$128$128$397$509—
PACIFICA HOSPITAL OF THE VALLEY
SUN VALLEY
$237 $139—$119$237———$237
UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND
OAKLAND
$238 ————$106———
PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE
TORRANCE
$254 $206—$111—————
PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO
SAN PEDRO
$254 $206—$111—————
PROVIDENCE ST. JOSEPH HOSPITAL - ORANGE
ORANGE
$280 $206—$111—————
JOHN GEORGE PSYCHIATRIC HOSPITAL
SAN LEANDRO
$285 ————————
WILMA CHAN HIGHLAND HOSPITAL
OAKLAND
$285 ————————
SAN LEANDRO HOSPITAL
SAN LEANDRO
$285 ————————
ALAMEDA HOSPITAL
ALAMEDA
$285 ————————
FAIRMONT REHABILITATION AND WELLNESS
SAN LEANDRO
$285 ————————
SAINT AGNES MEDICAL CENTER
FRESNO
$289 ————————
HEALDSBURG DISTRICT HOSPITAL
HEALDSBURG
$290 ——$241—————
UCI HEALTH - FOUNTAIN VALLEY
FOUNTAIN VALLEY
$294 $114$128$111$117————
UCI HEALTH - LOS ALAMITOS
LOS ALAMITOS
$294 $114$128$111$117————
UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER
ORANGE
$294 $114$128$111$117————
PROVIDENCE MISSION HOSPITAL LAGUNA BEACH
LAGUNA BEACH
$302 $206—$111—————
TRI-CITY MEDICAL CENTER
OCEANSIDE
$306 $59.50$111$111$64.40$111$70.00$74.00$111
ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL AND TRAUMA CENTER
SAN FRANCISCO
$308 ————————
PROVIDENCE SAINT JOSEPH MEDICAL CENTER
BURBANK
$308 $206—$111—————
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97167, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $277 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $419 for this?

That is the median of what the 174 California 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.

Build my dispute letter — free

No account, no signup. Your bill never leaves your browser.

Medicare reimbursement benchmark

For CPT 97167 in California, Medicare reimburses about $111 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in California range from $6.60 to $2,746 — that means hospital cash prices are typically 3.8x 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 California?
Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in California range from $6.60 to $2,746, with a median of $419. Prices vary widely by hospital.
Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in California?
The cheapest California hospital published cash price for this procedure is $6.60. 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.

Evaluation for occupational therapy, typically 1 hour in nearby states

Other procedures in California

Methodology. Cash prices and insurance-negotiated rates published by each California facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.