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.
Hospital comparison — Illinois
Sorted by cash price (lowest first). Showing top 60 of 120 hospitals.
| Hospital | Cash | Aetna | BCBS | UHC | Cigna | Humana | MultiPlan | Centene | Molina |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
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.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
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.