Evaluation for Occupational Therapy, Typically 1 Hour Cost in Montana
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 33 Montana hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $227
📉 Low $101
📈 High $461
🏥 33 hospitals
🏛️ 20 with insurance contracts
🇺🇸 Medicare $101
Hospital comparison — Montana
Sorted by cash price (lowest first). Showing top 33 of 33 hospitals.
Billed more than $227 for this? That gap is evidence.
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| Hospital | Cash | BCBS | UHC | Humana | Cigna | Aetna | Medicare | TRICARE | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| SIDNEY HEALTH CENTER SIDNEY |
$101 | $148 | $95.76 | — | $155 | $155 | — | — | — |
| LOGAN HEALTH WHITEFISH WHITEFISH |
$134 | $160 | — | — | — | — | — | — | — |
| LOGAN HEALTH MEDICAL CENTER KALISPELL |
$135 | $101 | — | $105 | — | — | — | — | — |
| LOGAN HEALTH CUT BANK CUT BANK |
$135 | $101 | — | $105 | — | — | — | — | — |
| PROVIDENCE ST JOSEPH MEDICAL CENTER POLSON |
$154 | — | — | — | — | — | — | — | — |
| LOGAN HEALTH SHELBY SHELBY |
$164 | — | — | — | — | — | — | — | — |
| BOZEMAN HEALTH DEACONESS HOSPITAL BOZEMAN |
$170 | $168 | $230 | — | $225 | — | — | $96.10 | $230 |
| HOLY ROSARY HEALTHCARE MILES CITY |
$174 | — | $92.75 | — | $160 | — | — | — | — |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER BIG SKY |
$184 | $168 | $230 | — | $225 | — | — | $96.10 | $230 |
| PROVIDENCE ST PATRICK HOSPITAL MISSOULA |
$187 | $102 | — | $103 | — | — | — | — | — |
| ST LUKE COMMUNITY HOSPITAL RONAN |
$195 | — | — | — | — | — | — | — | — |
| MINERAL COMMUNITY HOSPITAL SUPERIOR |
$196 | $95.00 | — | — | $95.00 | — | — | — | — |
| ST. VINCENT REGIONAL HOSPITAL BILLINGS |
$199 | — | $115 | — | — | — | $113 | — | — |
| LOGAN HEALTH CHESTER CHESTER |
$200 | — | — | — | — | — | — | — | — |
| PHILLIPS COUNTY HOSPITAL MALTA |
$208 | — | — | — | — | — | — | — | — |
| BIG SANDY MEDICAL CENTER BIG SANDY |
$210 | $260 | — | $266 | — | — | — | — | — |
| BENEFIS TETON MEDICAL CENTER CHOTEAU |
$227 | — | — | — | — | — | — | — | — |
| BENEFIS MISSOURI RIVER MEDICAL CENTER CHOTEAU |
$227 | — | — | — | — | — | — | — | — |
| NORTHERN MONTANA HOSPITAL HAVRE |
$245 | $116 | $116 | $116 | — | $116 | $109 | — | — |
| ROOSEVELT MEDICAL CENTER CULBERTSON |
$247 | $232 | $232 | — | — | — | — | — | $245 |
| ROSEBUD HEALTH CARE CENTER HOSPITAL FORSYTH |
$249 | $212 | $244 | — | $244 | — | $98.53 | — | — |
| LOGAN HEALTH CONRAD CONRAD |
$259 | — | — | — | — | — | — | — | — |
| STILLWATER BILLINGS CLINIC COLUMBUS |
$261 | — | — | — | — | — | — | — | — |
| GLENDIVE MEDICAL CENTER GLENDIVE |
$283 | $39.00 | $39.00 | $39.00 | $39.00 | $39.00 | $39.00 | $132 | — |
| FALLON MEDICAL COMPLEX BAKER |
$288 | $160 | $92.75 | $288 | — | — | — | $288 | — |
| ST. PETER'S HEALTH REGIONAL MEDICAL CENTER E BROADWAY ST HELENA |
$289 | — | — | — | — | — | — | — | — |
| BIG HORN COUNTY MEMORIAL HOSPITAL HARDIN |
$293 | — | — | — | — | — | — | — | — |
| CLARK FORK VALLEY HOSPITAL PLAINS |
$303 | $303 | — | — | — | — | — | — | — |
| BILLINGS CLINIC BILLINGS |
$315 | $101 | — | — | — | — | — | — | — |
| BILLINGS CLINIC BROADWATER TOWNSEND |
$323 | — | — | — | — | — | — | — | — |
| BEARTOOTH BILLINGS CLINIC RED LODGE |
$331 | — | — | — | — | $95.00 | — | — | — |
| ST. JAMES HEALTHCARE BUTTE |
$332 | — | $115 | $116 | — | — | — | — | — |
| DEER LODGE MEDICAL CENTER DEER LODGE |
$461 | — | — | — | — | — | — | — | — |
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 $227 for this?
That is the median of what the 33 Montana 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 Montana, Medicare reimburses about $101 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Montana range from $101 to $461 — 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 Montana?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Montana range from $101 to $461, with a median of $227. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Montana?
- The cheapest Montana hospital published cash price for this procedure is $101. 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 Montana
Methodology. Cash prices and insurance-negotiated rates published by each Montana facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.