Evaluation for Occupational Therapy, Typically 1 Hour Cost in Hawaii
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 9 Hawaii hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Hawaii
Sorted by cash price (lowest first). Showing top 9 of 9 hospitals.
| Hospital | Cash | UHC | Kaiser | Humana | MultiPlan | First Health | Devoted | Aetna | Cigna |
|---|---|---|---|---|---|---|---|---|---|
| REHABILITATION HOSPITAL OF THE PACIFIC HONOLULU |
$279 | $1,612 | $118 | — | — | — | — | — | — |
| KULA HOSPITAL KULA |
$290 | $50.00 | $39.00 | — | — | — | $65.00 | — | — |
| LANAI COMMUNITY HOSPITAL LANAI CITY |
$290 | $50.00 | $39.00 | — | — | — | $51.00 | — | — |
| THE QUEENS MEDICAL CENTER WAHIAWA WAHIAWA |
$328 | $92.08 | — | $90.00 | — | $80.00 | — | — | — |
| QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL WAIMEA |
$328 | $80.00 | $107 | $90.00 | $72.00 | $80.00 | — | — | — |
| THE QUEEN'S MEDICAL CENTER - WEST OAHU EWA BEACH |
$328 | $92.08 | $107 | $90.00 | $70.00 | $80.00 | — | — | — |
| QUEENS MEDICAL CENTER HONOLULU |
$328 | $92.08 | $107 | $90.00 | $70.00 | $80.00 | — | — | — |
| KAISER PERMANENTE MOANALUA MEDICAL CENTER HONOLULU |
$486 | — | $20.00 | — | — | — | — | — | — |
| SHRINERS HOSPITAL FOR CHILDREN HONOLULU |
$579 | $74.96 | $65.00 | — | $85.00 | — | — | $75.00 | $130 |
That is the median of what the 9 Hawaii 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 Hawaii, Medicare reimburses about $107 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Hawaii range from $279 to $579 — 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 Hawaii?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Hawaii range from $279 to $579, with a median of $328. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Hawaii?
- The cheapest Hawaii hospital published cash price for this procedure is $279. 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.