Evaluation for Occupational Therapy, Typically 1 Hour Cost in Nevada
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 26 Nevada hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $404
📉 Low $100
📈 High $1,040
🏥 26 hospitals
🏛️ 23 with insurance contracts
🇺🇸 Medicare $101
Hospital comparison — Nevada
Sorted by cash price (lowest first). Showing top 26 of 26 hospitals.
Billed more than $404 for this? That gap is evidence.
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| Hospital | Cash | Aetna | MultiPlan | Cigna | Molina | Humana | UHC | First Health | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| NORTH VISTA HOSPITAL NORTH LAS VEGAS |
$100 | $101 | — | — | $69.71 | — | $252 | — | — |
| SAINT MARY'S REGIONAL MEDICAL CENTER RENO |
$100 | $101 | — | — | $69.71 | — | $104 | — | — |
| DIGNITY HEALTH ST. ROSE DOMINICAN SAN MARTIN CAMPUS LAS VEGAS |
$172 | $379 | $578 | $285 | — | — | $251 | — | — |
| DIGNITY HEALTH ST. ROSE DOMINICAN SIENA CAMPUS HENDERSON |
$190 | $379 | $578 | $285 | — | — | $251 | — | — |
| DIGNITY HEALTH ST. ROSE DOMINICAN ROSE DE LIMA CAMPUS HENDERSON |
$239 | $379 | $578 | $285 | — | — | $251 | — | — |
| NORTHEASTERN NEVADA REGIONAL HOSPITAL ELKO |
$259 | $75.30 | $92.00 | $63.10 | — | $100 | $70.16 | $95.00 | $95.00 |
| UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA LAS VEGAS |
$262 | $155 | — | $83.39 | $68.34 | — | $82.52 | $197 | $197 |
| HORIZON SPECIALTY HOSPITAL HENDERSON LAS VEGAS |
$300 | — | — | — | — | — | — | — | — |
| HORIZON SPECIALTY HOSPITAL - LAS VEGAS LAS VEGAS |
$300 | — | — | — | — | — | — | — | — |
| BOULDER CITY HOSPITAL BOULDER CITY |
$345 | — | — | — | — | — | — | — | — |
| SUNRISE CHILDREN'S HOSPITAL LAS VEGAS |
$354 | $13.27 | $1,119 | $74.53 | $68.34 | $85.81 | $83.48 | $1,172 | $100 |
| HUMBOLDT GENERAL HOSPITAL WINNEMUCCA |
$404 | $44.00 | — | — | — | — | $95.00 | $90.00 | — |
| PAM HEALTH SPECIALTY HOSPITAL OF RENO SPARKS |
$404 | — | $323 | — | — | — | — | — | $343 |
| CARSON TAHOE REGIONAL MEDICAL CENTER CARSON CITY |
$458 | $248 | $95.00 | $90.00 | $186 | — | — | — | — |
| NORTHERN NEVADA MEDICAL CENTER SPARKS |
$460 | $312 | $828 | $247 | $70.39 | $102 | — | — | — |
| PAM REHABILITATION HOSPITAL OF CENTENNIAL HILLS LAS VEGAS |
$486 | $48.61 | $389 | $83.00 | $61.91 | $101 | $61.91 | — | — |
| ELITE MEDICAL CENTER LAS VEGAS |
$545 | $429 | $791 | $301 | $70.39 | $102 | — | — | — |
| HENDERSON HOSPITAL HENDERSON |
$545 | $429 | $791 | $301 | $70.39 | $102 | — | — | — |
| NORTHERN NEVADA SIERRA MEDICAL CENTER RENO |
$545 | $429 | $791 | $301 | $70.39 | $102 | — | — | — |
| CENTENNIAL HILLS HOSPITAL MEDICAL CENTER LAS VEGAS |
$545 | $429 | $791 | $301 | $70.39 | $102 | — | — | — |
| WEST HENDERSON HOSPITAL RAIDERS WAY HENDERSON |
$545 | $429 | $791 | $301 | $70.39 | $102 | — | — | — |
| SUMMERLIN HOSPITAL MEDICAL CENTER LAS VEGAS |
$545 | $429 | $791 | $301 | $70.39 | $102 | — | — | — |
| SPRING MOUNTAIN SAHARA LAS VEGAS |
$545 | $429 | $791 | $301 | $70.39 | $102 | — | — | — |
| PAM HEALTH SPECIALTY HOSPITAL OF LAS VEGAS LAS VEGAS |
$702 | — | $562 | — | — | — | — | — | — |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER LAS VEGAS |
$1,040 | $13.27 | $655 | — | $68.34 | $85.81 | $88.91 | $686 | $100 |
| ER AT BOULDER'S EDGE HENDERSON |
$1,040 | $13.27 | $655 | — | $68.34 | $85.81 | $88.91 | $686 | $100 |
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 $404 for this?
That is the median of what the 26 Nevada 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 Nevada, Medicare reimburses about $101 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Nevada range from $100 to $1,040 — that means hospital cash prices are typically 4.0x 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 Nevada?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Nevada range from $100 to $1,040, with a median of $404. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Nevada?
- The cheapest Nevada hospital published cash price for this procedure is $100. 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 Nevada
Methodology. Cash prices and insurance-negotiated rates published by each Nevada facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.