Evaluation for Occupational Therapy, Typically 1 Hour Cost in Illinois

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 120 Illinois hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $282 📉 Low $42.50 📈 High $2,176 🏥 120 hospitals 🏛️ 102 with insurance contracts 🇺🇸 Medicare $99.37

Hospital comparison — Illinois

Sorted by cash price (lowest first). Showing top 60 of 120 hospitals.

Billed more than $282 for this? That gap is evidence. Build my dispute letter
HospitalCashAetnaBCBSUHCCignaHumanaMultiPlanCenteneMolina
ADVOCATE CONDELL MEDICAL CENTER
LIBERTYVILLE
$42.50 $49.19$61.80$209$43.35—$68.00$150$150
ADVOCATE CHILDREN'S HOSPITAL - OAK LAWN
OAK LAWN
$42.50 $45.86$61.29$238$44.20—$68.00$150$150
ADVOCATE GOOD SAMARITAN HOSPITAL
DOWNERS GROVE
$42.50 $45.86$65.71$238$44.20—$68.00$150$150
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
CHICAGO
$42.50 $45.86$68.00$238$44.20—$68.00$150$150
ADVOCATE TRINITY HOSPITAL
CHICAGO
$42.50 $45.86$59.93$238$44.20—$68.00$150$150
ADVOCATE CHILDREN'S HOSPITAL - PARK RIDGE
PARK RIDGE
$42.50 $45.86$62.48$238$44.20—$68.00$150$150
GATEWAY REGIONAL MEDICAL CENTER
GRANITE CITY
$60.00 ————————
RED BUD REGIONAL HOSPITAL
RED BUD
$67.20 $84.69$121$84.69$101$84.69$115$84.69$84.69
DEACONESS ILLINOIS MEDICAL CENTER
MARION
$67.20 $96.07$96.07$96.07$107$101$146$96.07$97.03
DEACONESS ILLINOIS UNION COUNTY
ANNA
$67.20 $134$151$151$138$151$146$125$104
DEACONESS ILLINOIS CROSSROADS
MOUNT VERNON
$67.20 $96.74$96.74$38.40$74.69$96.74$478$96.74$97.70
ST ANTHONY HOSPITAL
CHICAGO
$90.90 $102$102$102$102$102———
JAVON BEA HOSPITAL-RIVERSIDE
ROCKFORD
$94.54 $102———————
SAINT MARY HOSPITAL KANKAKEE
KANKAKEE
$96.00 $96.50$91.68$96.50$96.50$96.50—$96.50$99.40
UNIVERSITY OF ILLINOIS HOSPITAL
SUITE 1400
$96.30 ————————
UW HEALTH BELVIDERE HOSPITAL
E STATE ST ROCKFORD
$96.80 ————————
LARABIDA CHILDREN'S HOSPITAL
CHICAGO
$97.23 ————————
UCHICAGO MEDICINE ADVENTHEALTH GLENOAKS
GLENDALE HEIGHTS
$100 $102$123$103$106——$166$154
UCHICAGO MEDICINE ADVENTHEALTH HINSDALE
HINSDALE
$100 $102$100$103$106——$166$154
UCHICAGO MEDICINE ADVENTHEALTH BOLINGBROOK
BOLINGBROOK
$100 $102$123$103$106——$166$154
UCHICAGO MEDICINE ADVENTHEALTH LA GRANGE
LA GRANGE
$100 $102$100$103$106——$166$154
SAINT FRANCIS HOSPITAL
EVANSTON
$101 $102$96.51$102$102$102—$102$105
RESURRECTION MEDICAL CENTER
CHICAGO
$101 $102$96.51$102$102$102—$102$105
HOLY FAMILY MEDICAL CENTER
DES PLAINES
$101 $102$96.51$102$102$102—$102$105
SAINT MARY OF NAZARETH HOSPITAL
CHICAGO
$101 $102$96.51$102$102$102—$102$105
SAINT JOSEPH MEDICAL CENTER
JOLIET
$102 $102$97.37$102$102$102—$102$106
MERCY MEDICAL CENTER
AURORA
$102 $102$97.37$102$102$102—$102$106
SAINT JOSEPH HOSPITAL
ELGIN
$102 $102$97.37$102$102$102—$102$106
ADVOCATE LUTHERAN GENERAL HOSPITAL
PARK RIDGE
$112 $121$164$238$117—$180$150$150
ADVOCATE SHERMAN HOSPITAL
ELGIN
$112 $130$129$212$117—$202$150$150
ADVOCATE CHRIST MEDICAL CENTER
OAK LAWN
$112 $121$159$238$117—$180$150$150
ADVOCATE SOUTH SUBURBAN HOSPITAL
HAZEL CREST
$112 $121$219$238$117—$180$150$150
ADVOCATE GOOD SHEPHERD HOSPITAL
BARRINGTON
$112 $121$175$238$117—$180$150$150
FRANCISCAN HEALTH OLYMPIA FIELDS
OLYMPIA FIELDS
$146 ————————
ASCENSION SAINT JOSEPH - CHICAGO
N LAKE SHORE DR CHICAGO
$148 $103$103$99.54—$103—$168—
GIBSON COMMUNITY HOSPITAL
GIBSON CITY
$153 $85.00$99.40——————
CGH MEDICAL CENTER
STERLING
$157 $47.10—$45.00$53.00$70.00$76.00——
WEST SUBURBAN MEDICAL CENTER
OAK PARK
$169 ————————
JOHN H STROGER JR HOSPITAL
CHICAGO
$181 $104$168$100$79.69————
UNITYPOINT TRINITY MOLINE
ROCK ISLAND
$191 $95.59$95.59$87.28$156$100—$95.59—
HAMILTON MEMORIAL HOSPITAL DISTRICT
S MARSHALL AVE MCLEANSBOROR
$205 $91.14$86.58$91.14$179$91.14$194$91.14—
RIVERSIDE HEALTHCARE
KANKAKEE
$232 $41.00$35.00$55.80$42.80$48.00—$101$100
WEISS MEMORIAL HOSPITAL
CHICAGO
$232 ————————
ALTON MEMORIAL HOSPITAL
ALTON
$233 $97.55$97.55$97.55$227$97.55$291——
MEMORIAL HOSPITAL BELLEVILLE
BELLEVILLE
$233 $98.21$98.21$98.21$227$98.21$291——
CITY OF HOPE CHICAGO CANCER HOSPITAL
ZION
$236 $195$275$104$314——$104$104
MEMORIAL HOSPITAL ASSOCIATION
CARTHAGE
$262 $93.39$128$271—$91.56$294——
FAIRFIELD MEMORIAL HOSPITAL
FAIRFIELD
$277 $311$84.70$239$215$83.04$311$83.04$83.04
MCDONOUGH DISTRICT HOSPITAL
E GRANT STREET MACOMB
$277 $96.74$261$88.03—$96.74——$96.74
OSF ST JOSEPH MEDICAL CENTER
BLOOMINGTON
$278 $103$105——————
OSF SAINT ANTHONY'S HEALTH CENTER
ALTON
$278 $103$105——————
OSF HEALTHCARE DIVINE MERCY CONTINUING CARE HOSPITAL
PEORIA
$278 ————————
OSF LITTLE COMPANY OF MARY HOSPITAL
EVERGREEN PARK
$278 $105$191————$103$143
OSF ST MARY MEDICAL CENTER
GALESBURG
$278 $103$105——$102———
OSF SAINT ELIZABETH MEDICAL CENTER
OTTAWA
$278 $102$105$103—————
OSF SAINT ANTHONY MEDICAL CENTER
ROCKFORD
$278 $103$105——$95.74———
OSF SACRED HEART MEDICAL CENTER
DANVILLE
$278 $102$105————$103—
OSF SAINT FRANCIS MEDICAL CENTER
PEORIA
$278 $103$105——$95.74———
LAWRENCE COUNTY MEMORIAL HOSPITAL
LAWRENCEVILLE
$279 ——$83.00$75.00————
HSHS ST. JOSEPH'S HOSPITAL HIGHLAND
HIGHLAND
$282 $78.20$78.20$78.20$262$78.20$332—$78.20
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 $282 for this?

That is the median of what the 120 Illinois 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 Illinois, Medicare reimburses about $99.37 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Illinois range from $42.50 to $2,176 — that means hospital cash prices are typically 2.8x 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 Illinois?
Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Illinois range from $42.50 to $2,176, with a median of $282. Prices vary widely by hospital.
Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Illinois?
The cheapest Illinois hospital published cash price for this procedure is $42.50. 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 Illinois

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