Evaluation for Occupational Therapy, Typically 1 Hour Cost in Iowa
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 60 Iowa hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $201
📉 Low $96.48
📈 High $407
🏥 60 hospitals
🏛️ 47 with insurance contracts
🇺🇸 Medicare $96.19
Hospital comparison — Iowa
Sorted by cash price (lowest first). Showing top 60 of 60 hospitals.
Billed more than $201 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Humana | BCBS | Molina | Cigna | MultiPlan | Centene |
|---|---|---|---|---|---|---|---|---|---|
| CHI HEALTH MERCY CORNING CORNING |
$96.48 | $63.64 | — | $63.64 | $63.64 | $66.19 | — | $145 | $64.92 |
| CHI HEALTH MISSOURI VALLEY MISSOURI VALLEY |
$98.49 | $51.80 | — | $51.80 | $134 | $66.19 | — | $145 | $52.84 |
| CHI HEALTH MERCY COUNCIL BLUFFS COUNCIL BLUFFS |
$101 | $111 | — | — | — | $74.01 | — | $171 | $36.15 |
| JACKSON COUNTY REGIONAL HEALTH CENTER MAQUOKETA |
$109 | $59.95 | $91.45 | $55.59 | — | — | — | — | — |
| HUMBOLDT COUNTY MEMORIAL HOSPITAL HUMBOLDT |
$110 | $96.00 | $71.00 | $77.84 | $77.84 | $77.84 | $75.00 | $75.00 | — |
| STORY COUNTY HOSPITAL NORTH NEVADA |
$122 | $61.00 | $61.00 | $61.00 | $61.00 | $74.00 | — | — | — |
| DALLAS COUNTY HOSPITAL PERRY |
$123 | $86.94 | $85.20 | $85.20 | — | $96.39 | — | — | — |
| HAWARDEN REGIONAL HEALTHCARE HARWARDEN |
$128 | $75.70 | — | — | $75.71 | — | — | — | — |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK |
$132 | — | — | — | — | — | — | — | — |
| UNITYPOINT HEALTH JONES REGIONAL MEDICAL CENTER ANAMOSA |
$149 | $76.18 | $74.32 | $76.18 | $73.92 | — | $153 | — | — |
| LORING HOSPITAL SAC CITY |
$154 | $77.00 | $77.00 | $77.00 | — | $89.00 | $96.00 | — | — |
| MERCYONE NORTH IOWA MASON CITY |
$163 | — | — | — | — | — | — | — | — |
| MERCYONE DUBUQUE DUBUQUE |
$165 | — | — | — | — | — | — | — | — |
| BURGESS HEALTH CENTER ONAWA |
$174 | $51.00 | $51.00 | $51.00 | $51.00 | — | — | — | — |
| OTTUMWA REGIONAL HEALTH CENTER PENNSYLVANIA AVE OTTUMWA |
$187 | $95.59 | — | — | $219 | $75.43 | — | — | — |
| UNITYPOINT HEALTH GRINNELL REGIONAL MEDICAL CENTER GRINNELL |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH ALLEN HOSPITAL WATERLOO |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH IOWA LUTHERAN HOSPITAL DES MOINES |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH TRINITY REGIONAL MEDICAL CENTER FORT DODGE |
$191 | $87.28 | $95.59 | $100 | $97.50 | — | $156 | — | — |
| UNITYPOINT HEALTH TRINITY MUSCATINE MUSCATINE |
$191 | $87.28 | $95.59 | $100 | $69.47 | — | $156 | — | $95.59 |
| UNITYPOINT HEALTH MARSHALLTOWN MARSHALLTOWN |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH ST. LUKE'S HOSPITAL CEDAR RAPIDS |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $148 | — | — |
| UNITYPOINT HEALTH BLANK CHILDREN'S HOSPITAL DES MOINES |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH ST. LUKE'S SIOUX CITY |
$191 | $87.28 | $95.59 | $100 | $97.50 | $97.50 | $156 | — | — |
| UNITYPOINT HEALTH TRINITY BETTENDORF |
$191 | $87.28 | $95.59 | $100 | $97.50 | — | $156 | — | $95.59 |
| UNITYPOINT HEALTHCARE FINLEY HOSPITAL DUBUQUE |
$191 | $87.28 | $94.00 | $100 | $97.50 | $97.50 | $156 | — | — |
| MERCYONE CLINTON CLINTON |
$192 | — | — | — | — | — | — | — | — |
| CHEROKEE REGIONAL MEDICAL CENTER CHEROKEE |
$196 | $53.00 | $53.00 | $53.00 | $53.00 | $55.00 | $100 | — | — |
| SIOUX CENTER HEALTH AVERA SIOUX CENTER |
$199 | $85.30 | — | — | — | — | — | — | — |
| LUCAS COUNTY HEALTH CENTER CHARITON |
$201 | $123 | $123 | $123 | — | $156 | — | — | — |
| MERCYONE WATERLOO MEDICAL CENTER WATERLOO |
$205 | — | — | — | — | — | — | — | — |
| SPENCER HOSPITAL SPENCER |
$213 | — | — | — | — | — | — | — | — |
| POCAHONTAS COMMUNITY HOSPITAL POCAHONTAS |
$215 | $96.00 | $60.00 | $95.00 | $64.00 | $50.00 | $97.00 | — | — |
| GREATER REGIONAL HEALTH W TOWNLINE ST CRESTON |
$216 | $59.00 | $63.00 | $64.00 | $64.00 | $59.00 | $89.00 | — | — |
| MERCYONE NEW HAMPTON NEW HAMPTON |
$216 | — | — | — | — | — | — | — | — |
| MERCYONE OELWEIN MEDICAL CENTER OELWEIN |
$216 | — | — | — | — | — | — | — | — |
| MERCYONE ELKADER MEDICAL CENTER ELKADER |
$216 | — | — | — | — | — | — | — | — |
| MERCYONE NEWTON MEDICAL CENTER NEWTON |
$216 | — | — | — | — | — | — | — | — |
| GRUNDY COUNTY MEMORIAL HOSPITAL GRUNDY CENTER |
$221 | $49.00 | $49.00 | $49.00 | $49.00 | $56.00 | $95.00 | — | — |
| FLOYD VALLEY HOSPITAL LE MARS |
$225 | $85.30 | — | — | — | — | — | — | — |
| GUTTENBERG MUNICIPAL HOSPITAL GUTTENBERG |
$238 | $52.00 | $52.00 | $52.52 | — | $52.52 | — | — | — |
| BROADLAWNS MEDICAL CENTER DES MOINES |
$238 | $101 | $238 | — | — | — | $190 | — | — |
| COMMUNITY MEMORIAL HOSPITAL SUMNER |
$240 | $58.80 | $63.00 | $63.00 | $49.00 | $61.00 | — | — | — |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY CRESCO |
$240 | $73.00 | — | — | — | — | — | — | — |
| STEWART MEMORIAL COMMUNITY HOSPITAL LAKE CITY |
$244 | $52.00 | $50.00 | $52.00 | — | $52.00 | $66.00 | $50.00 | — |
| PELLA REGIONAL HEALTH CENTER PELLA |
$249 | $149 | $67.00 | $75.00 | $94.62 | $87.15 | — | $174 | — |
| HEGG HEALTH CENTER ROCK VALLEY |
$257 | $85.30 | — | — | — | — | — | — | — |
| MERCYONE DES MOINES MEDICAL CENTER DES MOINES |
$265 | — | — | — | — | — | — | — | — |
| RINGGOLD COUNTY HOSPITAL MT AYR |
$279 | — | $57.00 | $57.00 | — | — | — | — | — |
| GREENE COUNTY MEDICAL CENTER JEFFERSON |
$283 | $52.00 | $52.00 | $52.00 | — | $51.00 | — | — | $52.00 |
| BUCHANAN COUNTY HEALTH CENTER INDEPENDENCE |
$289 | $36.00 | $36.00 | $36.00 | $36.00 | $35.00 | $83.00 | — | — |
| CLARKE COUNTY PUBLIC HOSPITAL OSCEOLA |
$304 | $44.22 | $44.22 | $44.22 | $44.22 | $38.94 | $64.68 | — | — |
| REGIONAL MEDICAL CENTER MANCHESTER |
$316 | $37.70 | $34.34 | — | — | — | $88.03 | $95.00 | — |
| MERCYONE CENTERVILLE MEDICAL CENTER CENTERVILLE |
$333 | — | — | — | — | — | — | — | — |
| AVERA HOLY FAMILY HOSPITAL ESTHERVILLE |
$340 | $85.30 | — | — | $17.60 | — | — | — | — |
| AVERA MERRILL PIONEER HOSPITAL ROCK RAPIDS |
$340 | $85.30 | — | — | — | — | — | — | — |
| SANFORD SHELDON MEDICAL CENTER SHELDON |
$346 | $133 | $133 | — | $133 | — | — | $389 | — |
| BUENA VISTA REGIONAL MEDICAL CENTER TH ST STORM LAKE |
$362 | $53.00 | $53.00 | $53.00 | $53.00 | — | $90.00 | — | $53.00 |
| COMPASS MEMORIAL HEALTHCARE BOX 228 |
$402 | $350 | $155 | $301 | — | — | — | — | — |
| MERCYONE WEST DES MOINES MEDICAL CENTER WEST DES MOINES |
$407 | — | — | — | — | — | — | — | — |
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 $201 for this?
That is the median of what the 60 Iowa 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 Iowa, Medicare reimburses about $96.19 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Iowa range from $96.48 to $407 — 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 Iowa?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Iowa range from $96.48 to $407, with a median of $201. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Iowa?
- The cheapest Iowa hospital published cash price for this procedure is $96.48. 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 Iowa
Methodology. Cash prices and insurance-negotiated rates published by each Iowa facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.