Evaluation for Occupational Therapy, Typically 1 Hour Cost in Indiana
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 60 Indiana hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $221
📉 Low $25.06
📈 High $484
🏥 60 hospitals
🏛️ 33 with insurance contracts
🇺🇸 Medicare $96.81
Hospital comparison — Indiana
Sorted by cash price (lowest first). Showing top 60 of 60 hospitals.
Billed more than $221 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Cigna | Humana | MultiPlan | Centene | First Health | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| NORTON CLARK HOSPITAL JEFFERSONVILLE |
$25.06 | $72.85 | $98.95 | $72.94 | — | — | — | — | — |
| THE WOMEN'S HOSPITAL NEWBURGH |
$54.28 | $21.16 | $21.16 | $66.24 | — | $63.48 | $21.16 | $68.08 | — |
| MONROE HOSPITAL BLOOMINGTON |
$96.00 | $96.83 | $96.83 | — | — | $188 | — | — | $96.83 |
| DEACONESS CROSS POINTE NEWBURGH |
$99.75 | $57.00 | $158 | $171 | $158 | $200 | $147 | $200 | — |
| DEACONESS GATEWAY HOSPITAL NEWBURGH |
$99.75 | $158 | $158 | $171 | $158 | $200 | $147 | $200 | — |
| DEACONESS MEMORIAL MEDICAL CENTER JASPER |
$99.75 | $288 | $96.07 | — | $96.07 | — | $125 | — | — |
| DEACONESS GIBSON HOSPITAL PRINCETON |
$99.75 | $57.00 | $75.00 | $171 | — | — | $96.00 | $200 | $96.00 |
| FRANCISCAN HEALTHCARE RENSSELAER RENSSELAER |
$115 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MICHIGAN CITY LA PORTE LAPORTE |
$115 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MICHIGAN CITY MICHIGAN CITY |
$115 | — | — | — | — | — | — | — | — |
| NORTON SCOTT HOSPITAL SCOTTSBURG |
$125 | $96.07 | $393 | $530 | — | $499 | — | — | — |
| FRANCISCAN HEALTH LAFAYETTE EAST LAFAYETTE |
$128 | — | — | — | — | — | — | — | — |
| NORTON KING'S DAUGHTERS' HEALTH MADISON |
$130 | $96.07 | $96.07 | $503 | $96.07 | $545 | — | $533 | — |
| FRANCISCAN HEALTH CARMEL CARMEL |
$134 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS |
$134 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL CARMEL |
$134 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH CROWN POINT CROWN POINT |
$143 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MOORESVILLE MOORESVILLE |
$147 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH DYER DYER |
$157 | — | — | — | — | — | — | — | — |
| MARGARET MARY HEALTH BATESVILLE |
$172 | — | — | — | — | — | — | — | — |
| COMMUNITY HEART AND VASCULAR HOSPITAL INDIANAPOLIS |
$178 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MUNSTER MUNSTER |
$203 | — | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT KOKOMO KOKOMO |
$217 | $10.58 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT ANDERSON ANDERSON |
$218 | $10.58 | — | — | — | — | — | — | — |
| METHODIST HOSPITALS SOUTHLAKE MERRILLVILLE |
$220 | — | — | — | — | — | — | — | — |
| METHODIST HOSPITALS NORTHLAKE CAMPUS GARY |
$220 | — | — | — | — | — | — | — | — |
| POWERS HEALTH REHABILITATION CENTER CROWN POINT |
$221 | — | — | — | — | — | — | — | — |
| ST CATHERINE HOSPITAL EAST CHICAGO |
$221 | — | — | — | — | — | — | — | — |
| ST MARY MEDICAL CENTER HOBART |
$221 | — | — | — | — | — | — | — | — |
| COMMUNITY HOSPITAL MUNSTER |
$221 | — | — | — | — | — | — | — | — |
| PERRY COUNTY MEMORIAL HOSPITAL TELL CITY |
$234 | — | — | — | — | — | — | — | — |
| GREENE COUNTY GENERAL HOSPITAL LINTON |
$235 | $90.06 | $90.06 | $372 | $76.86 | — | — | — | — |
| GOOD SAMARITAN HOSPITAL VINCENNES |
$238 | $96.81 | $96.81 | $96.81 | $96.81 | — | $96.81 | — | — |
| UNION HOSPITAL REGIONAL TH ST TERRE HAUTE |
$239 | $59.50 | $61.00 | $66.00 | $62.00 | $85.00 | $177 | $79.00 | $100 |
| UNION HOSPITAL TH ST TERRE HAUTE |
$239 | $59.50 | $61.00 | $66.00 | $62.00 | $85.00 | $177 | $79.00 | $100 |
| UNION HOSPITAL CLINTON S MAIN ST CLINTON |
$239 | $29.00 | $29.00 | $29.00 | $29.00 | $85.00 | $51.33 | $79.00 | $29.00 |
| COMMUNITY HOSPITAL OF BREMEN BREMEN |
$257 | — | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT HEART CENTER CARMEL |
$263 | $17.54 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT FISHERS FISHERS |
$263 | $17.54 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT CARMEL ENDOSCOPY CENTER CARMEL |
$263 | $10.58 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT CARMEL AMBULATORY SURGERY CENTER CARMEL |
$263 | $10.58 | — | — | — | — | — | — | — |
| NAAB ROAD SURGERY CENTER INDIANAPOLIS |
$263 | $10.58 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT CARMEL CARMEL |
$263 | $17.54 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT EVANSVILLE EVANSVILLE |
$277 | $17.54 | — | — | — | — | — | — | — |
| ST. ELIZABETH DEARBORN HOSPITAL LAWRENCEBURG |
$283 | $97.00 | — | — | — | — | $103 | — | — |
| ASCENSION ST. VINCENT SALEM HOSPITAL SALEM |
$284 | $17.54 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT MERCY ELWOOD |
$286 | $17.54 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT RANDOLPH WINCHESTER |
$286 | $10.58 | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE |
$292 | — | — | — | — | — | — | — | — |
| REID HOSPITAL RICHMOND |
$292 | $90.68 | $412 | $450 | $95.14 | — | — | — | — |
| PLYMOUTH MEDICAL CENTER PLYMOUTH |
$356 | — | — | — | — | — | — | — | — |
| MISHAWAKA MEDICAL CENTER MISHAWAKA |
$356 | — | — | — | — | — | — | — | — |
| MEMORIAL HOSPITAL OF SOUTH BEND SOUTH BEND |
$370 | $51.68 | $96.07 | — | $96.07 | — | — | — | — |
| ELKHART GENERAL HOSPITAL ELKHART |
$370 | $51.68 | $96.07 | — | $96.07 | — | — | — | — |
| UNITY PHYSICIANS HOSPITAL MISHAWAKA |
$375 | — | — | — | — | $244 | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF GREATER INDIANA SOUTH CLARKSVILLE |
$392 | $51.40 | $97.93 | — | $96.81 | $235 | $51.40 | — | — |
| SCHNECK MEDICAL CENTER W TIPTON ST SEYMOUR |
$396 | — | — | — | — | — | — | — | — |
| ESKENAZI HOSPITAL ESKENAZI AVE. INDIANAPOLIS |
$420 | — | — | — | — | — | — | — | — |
| GOSHEN HOSPITAL GOSHEN |
$450 | $40.00 | $81.00 | $82.00 | $94.07 | $82.00 | $94.07 | — | $94.07 |
| COLUMBUS REGIONAL HEALTH COLUMBUS |
$484 | — | — | — | — | — | — | — | — |
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 $221 for this?
That is the median of what the 60 Indiana 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 Indiana, Medicare reimburses about $96.81 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Indiana range from $25.06 to $484 — that means hospital cash prices are typically 2.3x 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 Indiana?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Indiana range from $25.06 to $484, with a median of $221. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Indiana?
- The cheapest Indiana hospital published cash price for this procedure is $25.06. 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 Indiana
Methodology. Cash prices and insurance-negotiated rates published by each Indiana facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.