Evaluation for Occupational Therapy, Typically 1 Hour Cost in Connecticut

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 18 Connecticut hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $370 📉 Low $136 📈 High $740 🏥 18 hospitals 🏛️ 14 with insurance contracts 🇺🇸 Medicare $105

Hospital comparison — Connecticut

Sorted by cash price (lowest first). Showing top 18 of 18 hospitals.

Billed more than $370 for this? That gap is evidence. Build my dispute letter
HospitalCashAetnaCignaUHCBCBSMultiPlanCenteneMedicareTRICARE
THE CONNECTICUT HOSPICE INC.
BRANFORD
$136 —$57.57——————
GAYLORD HOSPITAL
WALLINGFORD
$201 $105$129$105—$230———
BRISTOL HOSPITAL
BRISTOL
$250 $106$281$106—$369$106——
LAWRENCE + MEMORIAL HOSPITAL
NEW LONDON
$256 $85.65$421$50.70—$634—$75.90$41.64
HOSPITAL FOR SPECIAL CARE
NEW BRITAIN
$282 $116$254$134—————
CONNECTICUT CHILDRENS MEDICAL CENTER
HARTFORD
$315 ————————
WATERBURY HOSPITAL
WATERBURY
$323 $119$222$232—————
GREENWICH HOSPITAL
GREENWICH
$370 $87.22$284$68.12—$463—$59.79$349
BRIDGEPORT HOSPITAL
BRIDGEPORT
$370 $205$205$205—$205—$205$205
SHARON HOSPITAL
PO BOX 789
$403 $105——$352————
YALE-NEW HAVEN HOSPITAL
NEW HAVEN
$420 $70.44$294$68.62———$69.69$29.93
MOUNT SINAI REHABILITATION HOSPITAL
HARTFORD
$437 ————————
ST FRANCIS HOSPITAL AND MEDICAL CENTER
HARTFORD
$437 ————————
SAINT MARYS HOSPITAL
WATERBURY
$522 ————————
NORWALK HOSPITAL
NORWALK
$675 $106$109—$188—$108——
DANBURY HOSPITAL
DANBURY
$703 $106$109—$188—$108——
NEW MILFORD HOSPITAL
NEW MILFORD
$703 $106$109—$188—$108——
HSS STAMFORD
STAMFORD
$740 $199$230$112$323—$83.94——
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 $370 for this?

That is the median of what the 18 Connecticut 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 Connecticut, Medicare reimburses about $105 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Connecticut range from $136 to $740 — that means hospital cash prices are typically 3.5x 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 Connecticut?
Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Connecticut range from $136 to $740, with a median of $370. Prices vary widely by hospital.
Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Connecticut?
The cheapest Connecticut hospital published cash price for this procedure is $136. 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 Connecticut

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