Evaluation for Occupational Therapy, Typically 1 Hour Cost in Georgia
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 85 Georgia hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $207
📉 Low $51.81
📈 High $1,669
🏥 85 hospitals
🏛️ 51 with insurance contracts
🇺🇸 Medicare $98.44
Hospital comparison — Georgia
Sorted by cash price (lowest first). Showing top 60 of 85 hospitals.
Billed more than $207 for this? That gap is evidence.
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| Hospital | Cash | Aetna | Cigna | UHC | Humana | Centene | BCBS | MultiPlan | Kaiser |
|---|---|---|---|---|---|---|---|---|---|
| HAMILTON MEDICAL CENTER DALTON |
$51.81 | — | — | — | — | — | — | — | — |
| JEFFERSON HOSPITAL LOUISVILLE |
$55.25 | — | — | — | — | — | — | — | — |
| LIBERTY REGIONAL MEDICAL CENTER HINESVILLE |
$81.98 | — | — | $19.67 | $81.98 | $18.06 | — | — | — |
| PUTNAM GENERAL HOSPITAL EATONTON |
$87.50 | $84.04 | $84.04 | $85.75 | $84.04 | — | — | — | — |
| SOUTHERN REGIONAL MEDICAL CENTER RIVERDALE |
$101 | $64.02 | $102 | $102 | $96.48 | $105 | $102 | $102 | — |
| WAYNE MEMORIAL HOSPITAL JESUP |
$109 | $160 | $146 | $183 | $174 | — | $134 | $196 | — |
| NGMC GAINESVILLE GAINESVILLE |
$125 | $97.24 | $98.19 | — | $100 | — | $95.33 | — | — |
| NGMC HABERSHAM DEMOREST |
$125 | — | — | — | — | — | — | — | — |
| NGMC LUMPKIN DAHLONEGA |
$125 | — | — | — | — | — | — | — | — |
| NGMC BARROW WINDER |
$125 | — | — | — | — | — | — | — | — |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON BRASELTON |
$125 | $97.24 | $98.19 | — | $100 | — | $95.33 | — | — |
| CHATUGE REGIONAL HOSPITAL HIAWASSEE |
$128 | $79.05 | $89.25 | $56.10 | $89.25 | $134 | $89.25 | — | — |
| UNION GENERAL HOSPITAL BLAIRSVILLE |
$130 | $97.24 | $95.33 | $95.33 | $95.33 | $40.95 | $95.33 | — | — |
| ATRIUM HEALTH NAVICENT PEACH BYRON |
$130 | $54.81 | $190 | $54.81 | $54.81 | $78.30 | — | $170 | — |
| CLINCH MEMORIAL HOSPITAL HOMERVILLE |
$135 | $80.00 | $85.00 | $83.00 | $95.00 | $84.52 | — | — | — |
| TANNER MEDICAL CENTER - CARROLLTON CARROLLTON |
$137 | $78.00 | $50.00 | $78.00 | — | — | — | $80.00 | $78.00 |
| WILLOWBROOKE AT TANNER VILLA RICA VILLA RICA |
$137 | $78.00 | $50.00 | — | — | — | — | $80.00 | — |
| TANNER MEDICAL CENTER VILLA RICA VILLA RICA |
$137 | $78.00 | $50.00 | $78.00 | — | — | — | $80.00 | $95.33 |
| HIGGINS GENERAL HOSPITAL BREMEN |
$137 | $20.00 | $20.00 | $78.00 | — | — | — | $80.00 | $78.00 |
| CANDLER HOSPITAL SAVANNAH |
$142 | $95.33 | — | $96.76 | $97.24 | $100 | — | — | — |
| ST JOSEPH'S HOSPITAL - SAVANNAH SAVANNAH |
$142 | $95.33 | — | $96.76 | $97.24 | $100 | — | — | — |
| OPTIM MEDICAL CENTER TATTNALL REIDSVILLE |
$152 | — | $65.00 | $184 | — | — | — | $85.00 | — |
| MILLER COUNTY HOSPITAL COLQUITT |
$154 | $138 | $239 | — | $138 | $68.55 | — | — | — |
| CHI MEMORIAL HOSPITAL GEORGIA FORT OGLETHORPE |
$157 | $429 | $121 | $270 | — | $79.50 | $102 | — | — |
| PIEDMONT AUGUSTA HOSPITAL AUGUSTA |
$160 | — | — | — | — | — | — | — | — |
| PIEDMONT MCDUFFIE THOMSON |
$160 | — | — | — | — | — | — | — | — |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN COLUMBUS |
$160 | — | — | — | — | — | — | — | — |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE COLUMBUS |
$160 | — | — | — | — | — | — | — | — |
| JASPER MEMORIAL HOSPITAL MONTICELLO |
$166 | $272 | $282 | $266 | $282 | $207 | $178 | $282 | $207 |
| DONALSONVILLE HOSPITAL DONALSONVILLE |
$169 | $85.00 | — | $85.00 | $85.00 | $130 | — | — | — |
| ATRIUM HEALTH NAVICENT BALDWIN MILLEDGEVILLE |
$178 | $94.97 | $273 | $94.97 | $94.97 | $106 | — | $231 | — |
| APPLING HEALTHCARE SYSTEM BAXLEY |
$184 | $90.00 | $209 | $208 | — | — | — | — | — |
| CRISP REGIONAL HOSPITAL CORDELE |
$186 | $88.00 | $93.00 | $74.00 | $70.00 | $124 | $87.00 | — | — |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER CEDARTOWN |
$188 | $75.00 | $75.00 | $75.00 | $75.00 | $51.49 | — | $262 | — |
| CITY OF HOPE ATLANTA CANCER HOSPITAL NEWNAN |
$207 | $213 | $94.97 | $94.97 | — | $75.19 | $94.97 | — | — |
| PIEDMONT MACON NORTH MACON |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT BEHAVIORAL HEALTH AT MACON BOX 9366 |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT ROCKDALE HOSPITAL CONYERS |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT CARTERSVILLE MEDICAL CENTER CARTERSVILLE |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT ATLANTA HOSPITAL ATLANTA |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT EASTSIDE MEDICAL CENTER SNELLVILLE |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT MOUNTAINSIDE HOSPITAL JASPER |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT HENRY HOSPITAL STOCKBRIDGE |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT NEWNAN HOSPITAL NEWNAN |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT NEWTON HOSPITAL COVINGTON |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT WALTON MONROE |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT FAYETTE HOSPITAL FAYETTEVILLE |
$207 | — | — | — | — | — | — | — | — |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER ATHENS |
$207 | — | — | — | — | — | — | — | — |
| ARCHBOLD MITCHELL COUNTY HOSPITAL CAMILLA |
$217 | — | — | — | — | — | — | — | — |
| ST MARY'S GOOD SAMARITAN HOSPITAL GREENSBORO |
$228 | — | — | — | — | — | — | — | — |
| BACON COUNTY HOSPITAL ALMA |
$232 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH NAVICENT REHABILITATION MACON |
$238 | $94.97 | $266 | $94.97 | $94.97 | $128 | — | $310 | $310 |
| ARCHBOLD GRADY GENERAL HOSPITAL CAIRO |
$239 | — | — | — | — | — | — | — | — |
| ARCHBOLD HOSPITAL THOMASVILLE |
$239 | — | — | — | — | — | — | — | — |
| ARCHBOLD BROOKS QUITMAN |
$239 | — | — | — | — | — | — | — | — |
| UPSON REGIONAL MEDICAL CENTER THOMASTON |
$243 | $97.24 | — | — | — | $143 | — | — | — |
| DODGE COUNTY HOSPITAL EASTMAN |
$248 | $186 | $1.00 | $1.00 | — | — | $103 | — | — |
| ST MARY'S SACRED HEART HOSPITAL LAVONIA |
$290 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH LEVINE CHILDREN'S BEVERLY KNIGHT OLSON CHILDREN'S HOSPITAL MACON |
$294 | $94.97 | $266 | $94.97 | $94.97 | $128 | — | $382 | $382 |
| ATRIUM HEALTH FLOYD HARBIN MEDICAL CENTER ROME |
$296 | $95.92 | $94.97 | $94.97 | $94.97 | $96.87 | — | $415 | — |
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 $207 for this?
That is the median of what the 85 Georgia 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 Georgia, Medicare reimburses about $98.44 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Georgia range from $51.81 to $1,669 — that means hospital cash prices are typically 2.1x 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 Georgia?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Georgia range from $51.81 to $1,669, with a median of $207. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Georgia?
- The cheapest Georgia hospital published cash price for this procedure is $51.81. 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 Georgia
Methodology. Cash prices and insurance-negotiated rates published by each Georgia facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.