Evaluation for Occupational Therapy, Typically 1 Hour Cost in Rhode Island
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 8 Rhode Island hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Rhode Island
Sorted by cash price (lowest first). Showing top 8 of 8 hospitals.
| Hospital | Cash | Aetna | UHC | Cigna | BCBS | Medicare | MultiPlan | TRICARE | Humana |
|---|---|---|---|---|---|---|---|---|---|
| LANDMARK MEDICAL CENTER WOONSOCKET |
$103 | $103 | $103 | — | $104 | $103 | — | $103 | $103 |
| WOMEN AND INFANTS HOSPITAL PROVIDENCE |
$124 | — | — | — | — | — | — | — | — |
| KENT COUNTY MEMORIAL HOSPITAL WARWICK |
$124 | — | — | — | — | — | — | — | — |
| BUTLER HOSPITAL PROVIDENCE |
$124 | — | — | — | — | — | — | — | — |
| SOUTH COUNTY HEALTH KENYON AVE WAKEFIELD |
$142 | $58.80 | $100 | $80.40 | $89.50 | $100 | $80.00 | $100 | — |
| WESTERLY HOSPITAL WELLS STREET WESTERLY |
$256 | $108 | $96.39 | $348 | — | $94.72 | $313 | — | — |
| ROGER WILLIAMS MEDICAL CENTER PROVIDENCE |
$308 | $104 | $97.00 | $351 | $95.21 | — | — | — | — |
| OUR LADY OF FATIMA HOSPITAL NORTH PROVIDENCE |
$308 | $73.49 | $104 | $254 | $125 | — | — | — | — |
That is the median of what the 8 Rhode Island 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 Rhode Island, Medicare reimburses about $103 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Rhode Island range from $103 to $308 — that means hospital cash prices are typically 1.2x 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 Rhode Island?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Rhode Island range from $103 to $308, with a median of $124. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Rhode Island?
- The cheapest Rhode Island hospital published cash price for this procedure is $103. 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.