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.
Hospital comparison — California
Sorted by cash price (lowest first). Showing top 60 of 174 hospitals.
| Hospital | Cash | Health Net | Kaiser | Aetna | BCBS | UHC | MultiPlan | Cigna | Molina |
|---|---|---|---|---|---|---|---|---|---|
| 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 | — | — | — | — | — |
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.
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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.