Evaluation for Occupational Therapy, Typically 1 Hour Cost in South Carolina
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 43 South Carolina hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — South Carolina
Sorted by cash price (lowest first). Showing top 43 of 43 hospitals.
| Hospital | Cash | BCBS | UHC | Humana | Aetna | Molina | Cigna | Centene | Devoted |
|---|---|---|---|---|---|---|---|---|---|
| NOVANT HEALTH COASTAL CAROLINA HOSPITAL HARDEEVILLE |
$91.34 | $91.34 | $218 | $48.18 | $61.57 | $48.18 | — | — | — |
| NOVANT HEALTH HILTON HEAD MEDICAL CENTER HILTON HEAD ISLAND |
$91.34 | $91.34 | $215 | $48.18 | $61.57 | $48.18 | — | — | — |
| NOVANT HEALTH EAST COOPER MEDICAL CENTER MOUNT PLEASANT |
$91.34 | $53.78 | $224 | $48.18 | $61.57 | $48.18 | $235 | — | — |
| AIKEN REGIONAL MEDICAL CENTER WASHINGTON |
$116 | — | — | $211 | — | $48.18 | — | $48.18 | — |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL MURRELLS INLET |
$122 | — | $305 | — | — | — | — | — | — |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL GEORGETOWN |
$122 | — | $305 | — | — | — | — | — | — |
| ANMED HEALTH MEDICAL CENTER ANDERSON |
$130 | — | — | — | — | — | — | — | — |
| ANMED HEALTH PIEDMONT PIEDMONT |
$130 | — | — | — | — | — | — | — | — |
| NEWBERRY COUNTY MEMORIAL HOSPITAL NEWBERRY |
$138 | $217 | $281 | $48.18 | $253 | — | $50.59 | — | — |
| BON SECOURS ST FRANCIS HOSPITAL CHARLESTON |
$222 | — | — | — | — | — | — | — | — |
| ROPER HOSPITAL CHARLESTON |
$222 | — | — | — | — | — | — | — | — |
| ROPER ST FRANCIS BERKELEY HOSPITAL SUMMERVILLE |
$222 | — | — | — | — | — | — | — | — |
| ROPER ST. FRANCIS MOUNT PLEASANT HOSPITAL MOUNT PLEASANT |
$222 | — | — | — | — | — | — | — | — |
| BON SECOURS ST FRANCIS EASTSIDE GREENVILLE |
$268 | — | — | — | — | — | — | — | — |
| BON SECOURS ST FRANCIS DOWNTOWN GREENVILLE |
$268 | — | — | — | — | — | — | — | — |
| MIDLANDS BEHAVIORAL HEALTH HOSPITAL SUMTER |
$300 | — | — | — | — | — | — | — | — |
| CONWAY MEDICAL CENTER SINGLETON RIDGE RD CONWAY |
$314 | $91.34 | $96.06 | $96.06 | $24.66 | $96.06 | — | $96.06 | $96.06 |
| PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH NORTH GREENVILLE HOSPITAL TRAVELERS REST |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH TUOMEY HOSPITAL SUMTER |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH BAPTIST HOSPITAL COLUMBIA |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA |
$369 | — | — | — | — | — | — | — | — |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE |
$369 | — | — | — | — | — | — | — | — |
| PELHAM MEDICAL CENTER GREER |
$421 | — | — | — | — | — | — | — | — |
| SPARTANBURG HOSPITAL FOR RESTORATIVE CARE SPARTANBURG |
$464 | — | — | — | — | — | — | — | — |
| CHEROKEE MEDICAL CENTER GAFFNEY |
$464 | $91.34 | — | — | $101 | — | $104 | — | $99.68 |
| UNION MEDICAL CENTER UNION |
$464 | $91.34 | $100 | — | — | — | $104 | — | $99.68 |
| SPARTANBURG MEDICAL CENTER SPARTANBURG |
$464 | $91.34 | — | $96.78 | $101 | — | $104 | — | $99.68 |
| SHRINERS' HOSPITAL FOR CHILDREN-GREENVILLE GREENVILLE |
$488 | $8.90 | $22.00 | $48.18 | $75.00 | $48.18 | $130 | $21.68 | — |
| LEXINGTON MEDICAL CENTER WEST COLUMBIA |
$539 | $96.78 | $242 | $103 | $104 | $116 | — | $174 | — |
| PIEDMONT MEDICAL CENTER FORT MILL FORT MILL |
$736 | $1.00 | — | $1.00 | — | $1.00 | — | — | — |
| PIEDMONT MEDICAL CENTER ROCK HILL |
$736 | — | — | — | — | — | — | — | — |
| HCA HEALTHCARE TRIDENT HOSPITAL CHARLESTON |
$765 | $74.90 | $59.74 | $85.17 | $86.02 | $86.87 | $91.98 | $86.87 | $85.17 |
| HCA HEALTHCARE LIVE OAK MENTAL HEALTH AND WELLNESS LADSON |
$765 | $74.90 | $59.74 | $85.17 | $86.02 | $86.87 | $91.98 | $86.87 | $85.17 |
| HCA HEALTHCARE SUMMERVILLE HOSPITAL SUMMERVILLE |
$765 | $74.90 | $59.74 | $85.17 | $86.02 | $86.87 | $91.98 | $86.87 | $85.17 |
| HCA HEALTHCARE COLLETON HOSPITAL WALTERBORO |
$808 | $85.17 | $59.74 | $85.17 | $86.02 | $86.87 | $91.98 | $86.87 | $85.17 |
| CAROLINA FOREST ER MYRTLE BEACH |
$1,267 | $85.17 | $59.74 | $85.17 | $86.02 | $86.87 | $91.98 | $86.87 | $85.17 |
| CAROLINA FOREST ER MYRTLE BEACH |
$1,267 | $85.17 | $59.74 | $85.17 | $86.02 | $86.87 | $91.98 | $86.87 | $85.17 |
That is the median of what the 43 South Carolina 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 South Carolina, Medicare reimburses about $96.78 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in South Carolina range from $91.34 to $1,267 — that means hospital cash prices are typically 3.8x 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 South Carolina?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in South Carolina range from $91.34 to $1,267, with a median of $369. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in South Carolina?
- The cheapest South Carolina hospital published cash price for this procedure is $91.34. 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.