Evaluation for Occupational Therapy, Typically 1 Hour Cost in Michigan
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 64 Michigan hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $263
📉 Low $65.33
📈 High $1,397
🏥 64 hospitals
🏛️ 30 with insurance contracts
🇺🇸 Medicare $97.70
Hospital comparison — Michigan
Sorted by cash price (lowest first). Showing top 60 of 64 hospitals.
Billed more than $263 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | Humana | Medicare | UHC | Molina | Cigna | MultiPlan |
|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD ROCHESTER HOSPITAL W. UNIVERSITY DR ROCHESTER |
$65.33 | $78.27 | $96.42 | $96.42 | $96.42 | — | — | — | — |
| UM HEALTH-SPARROW CARSON CARSON CITY |
$73.00 | — | — | — | — | — | — | — | — |
| UM HEALTH-WEST HOSPITAL WYOMING |
$84.60 | — | — | — | — | — | — | — | — |
| SPARROW EATON HOSPITAL CHARLOTTE |
$87.00 | — | — | — | — | — | — | — | — |
| UM HEALTH-SPARROW IONIA HOSPITAL IONIA |
$87.00 | — | — | — | — | — | — | — | — |
| SPARROW CLINTON HOSPITAL ST. JOHNS |
$87.00 | — | — | — | — | — | — | — | — |
| LAKE HURON MEDICAL CENTER PORT HURON |
$96.00 | $51.40 | $96.36 | — | $96.36 | — | — | — | — |
| GARDEN CITY HOSPITAL GARDEN CITY |
$99.00 | $51.82 | $99.08 | $99.08 | $99.08 | $99.08 | — | — | — |
| HENRY FORD PROVIDENCE SOUTHFIELD HOSPITAL W NINE MILE RD SOUTHFIELD |
$128 | $74.71 | $120 | $97.38 | — | $55.92 | $55.92 | — | — |
| HENRY FORD PROVIDENCE NOVI HOSPITAL GRAND RIVER AVE NOVI |
$128 | $74.71 | $120 | $97.38 | — | $55.92 | $55.92 | — | — |
| UM HEALTH-SPARROW - ST LAWRENCE LANSING |
$134 | — | — | — | — | — | — | — | — |
| UM HEALTH-SPARROW LANSING LANSING |
$134 | — | — | — | — | — | — | — | — |
| HENRY FORD WARREN HOSPITAL TWELVE MILE RD WARREN |
$136 | $96.42 | $112 | $97.38 | $91.60 | — | $101 | — | — |
| SURGEONS CHOICE MEDICAL CENTER SOUTHFIELD |
$150 | — | — | — | — | — | — | — | — |
| BEACON ALLEGAN LINN ST ALLEGAN |
$153 | $39.63 | — | $99.35 | $98.66 | $39.63 | — | — | — |
| HENRY FORD RIVER DISTRICT HOSPITAL RIVER RD EAST CHINA TOWNSHIP |
$159 | $96.42 | — | $97.38 | $91.60 | — | $101 | — | — |
| HENRY FORD ST. JOHN CHILDREN'S HOSPITAL MOROSS RD DETROIT |
$166 | $96.42 | — | $97.38 | $91.60 | — | $101 | — | — |
| SCHEURER HOSPITAL PIGEON |
$172 | — | — | — | — | — | — | — | — |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM SPC 5474 |
$177 | — | — | — | — | — | — | — | — |
| HEALTHSOURCE SAGINAW HOSPITAL ROAD SAGINAW |
$177 | — | — | $98.26 | — | — | $98.26 | — | — |
| TRINITY HEALTH GRAND RAPIDS HOSPITAL GRAND RAPIDS |
$220 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH SHELBY HOSPITAL SHELBY |
$220 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH MUSKEGON HOSPITAL MUSKEGON |
$220 | — | — | — | — | — | — | — | — |
| HARBOR BEACH COMMUNITY HOSPITAL HARBOR BEACH |
$227 | — | — | — | — | — | — | — | — |
| UP HEALTH SYSTEM - BELL ISHPEMING |
$228 | $35.35 | $35.00 | $35.00 | $35.00 | $35.00 | — | $35.00 | $92.50 |
| SCHOOLCRAFT MEMORIAL HOSPITAL MANISTIQUE |
$241 | $229 | $228 | — | — | $234 | — | $236 | — |
| UP HEALTH SYSTEM PORTAGE HANCOCK |
$258 | $60.60 | $37.82 | $100 | $100 | $95.00 | $100 | $90.00 | $95.00 |
| CHELSEA HOSPITAL CHELSEA |
$263 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH ANN ARBOR HOSPITAL YPSILANTI |
$263 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH LIVINGSTON HOSPITAL HOWELL |
$263 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH LIVONIA HOSPITAL LIVONIA |
$263 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH OAKLAND HOSPITAL PONTIAC |
$263 | — | — | — | — | — | — | — | — |
| MCKENZIE MEMORIAL HOSPITAL SANDUSKY |
$268 | $102 | $99.28 | $102 | $102 | $90.82 | — | — | — |
| MUNSON HEALTHCARE CADILLAC CADILLAC |
$269 | $83.64 | $50.38 | $96.34 | $96.34 | $50.38 | $50.38 | $102 | — |
| SHERIDAN COMMUNITY HOSPITAL SHERIDAN |
$280 | — | $158 | $158 | $94.41 | — | — | — | — |
| MUNSON HEALTHCARE MANISTEE HOSPITAL MANISTEE |
$280 | $83.64 | $50.38 | $96.34 | $96.34 | $50.38 | $50.38 | $102 | $290 |
| MUNSON MEDICAL CENTER TRAVERSE CITY |
$284 | $83.64 | $50.38 | $96.34 | $96.34 | $50.38 | $50.38 | $102 | $301 |
| UP HEALTH SYSTEM - MARQUETTE MARQUETTE |
$284 | $56.00 | $31.25 | $100 | $100 | $88.00 | — | — | — |
| PAUL OLIVER MEMORIAL HOSPITAL FRANKFORT |
$285 | $96.34 | $67.92 | $96.34 | $96.34 | $67.92 | $67.92 | $102 | $302 |
| ASPIRUS IRONWOOD HOSPITAL IRONWOOD |
$285 | — | — | — | — | — | — | — | — |
| ASPIRUS KEWEENAW HOSPITAL LAURIUM |
$285 | — | — | — | — | — | — | — | — |
| ASPIRUS IRON RIVER HOSPITAL IRON RIVER |
$285 | — | — | — | — | — | — | — | — |
| KALKASKA MEMORIAL HEALTH CENTER KALKASKA |
$286 | $96.34 | $67.92 | $96.34 | $96.34 | $67.92 | $67.92 | $102 | $302 |
| MUNSON HEALTHCARE GRAYLING GRAYLING |
$288 | $83.64 | $50.38 | $96.34 | $96.34 | $50.38 | $50.38 | $102 | — |
| THREE RIVERS HEALTH HOSPITAL THREE RIVERS |
$295 | $51.68 | $96.42 | $96.42 | — | $51.68 | $51.68 | — | — |
| DECKERVILLE COMMUNITY HOSPITAL PINE STREET DECKERVILLE |
$306 | — | — | — | — | — | — | — | — |
| OTSEGO MEMORIAL HOSPITAL GAYLORD |
$321 | $97.30 | $50.38 | $96.34 | $96.34 | $50.38 | $50.38 | $102 | — |
| INSIGHT HOSPITAL & MEDICAL CENTER COLDWATER COLDWATER |
$324 | $284 | $284 | $284 | $284 | $284 | — | — | $284 |
| COVENANT HEALTHCARE MICHIGAN SAGINAW |
$326 | $96.34 | $50.38 | $96.34 | — | — | $50.38 | $254 | $415 |
| COVENANT MEDICAL CENTER COOPER COOPER SAGINAW |
$326 | $96.34 | $50.38 | $96.34 | — | — | $50.38 | $254 | $415 |
| MUNSON HEALTHCARE CHARLEVOIX HOSPITAL CHARLEVOIX |
$362 | $96.34 | $67.92 | — | $96.34 | $67.92 | $96.34 | $102 | — |
| VIBRA HOSPITAL OF SOUTHEASTERN MICHIGAN-DMC CAMPUS DETROIT |
$363 | $363 | — | — | — | — | $363 | — | — |
| OSF ST FRANCIS HOSPITAL & MEDICAL GROUP ESCANABA |
$371 | — | — | — | — | — | — | — | — |
| DMC SINAI-GRACE HOSPITAL DETROIT |
$531 | — | — | — | — | — | — | — | — |
| MEMORIAL HEALTHCARE HOSPITAL OWOSSO |
$532 | $99.06 | $113 | — | — | — | — | — | — |
| REHABILITATION INSTITUTE OF MICHIGAN DETROIT |
$542 | — | — | — | — | — | — | — | — |
| HURLEY MEDICAL CENTER MAIN CAMPUS HURLEY PLAZA FLINT |
$627 | — | — | — | — | — | — | — | — |
| BARAGA COUNTY MEMORIAL HOSPITAL LANSE |
$636 | — | — | — | — | — | — | — | — |
| DMC HUTZEL WOMEN'S HOSPITAL DETROIT |
$644 | — | — | — | — | — | — | — | — |
| DMC HURON VALLEY-SINAI HOSPITAL COMMERCE CHARTER TOWNSHIP |
$644 | — | — | — | — | — | — | — | — |
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 $263 for this?
That is the median of what the 64 Michigan 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 Michigan, Medicare reimburses about $97.70 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Michigan range from $65.33 to $1,397 — that means hospital cash prices are typically 2.7x 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 Michigan?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Michigan range from $65.33 to $1,397, with a median of $263. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Michigan?
- The cheapest Michigan hospital published cash price for this procedure is $65.33. 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 Michigan
Methodology. Cash prices and insurance-negotiated rates published by each Michigan facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.