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Evaluation for Occupational Therapy, Typically 1 Hour Cost in Tennessee
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 77 Tennessee hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $130
📉 Low $51.81
📈 High $1,558
🏥 77 hospitals
🏛️ 63 with insurance contracts
🇺🇸 Medicare $95.94
Hospital comparison — Tennessee
Sorted by cash price (lowest first). Showing top 60 of 77 hospitals.
Billed more than $130 for this? That gap is evidence.
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| Hospital | Cash | UHC | Cigna | Aetna | BCBS | Centene | Humana | Devoted | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| VITRUVIAN HEALTH BRADLEY MEDICAL CENTER CLEVELAND |
$51.81 | $101 | — | $98.82 | $92.84 | $99.78 | — | — | — |
| PARKWEST MEDICAL CENTER KNOXVILLE |
$54.60 | $182 | $138 | $150 | $100 | $156 | — | — | — |
| MORRISTOWN-HAMBLEN HEALTHCARE SYSTEM MORRISTOWN |
$56.42 | $182 | $138 | $150 | $100 | $156 | — | — | — |
| LECONTE MEDICAL CENTER SEVIERVILLE |
$56.42 | $182 | $138 | $150 | $100 | $156 | — | — | — |
| METHODIST MEDICAL CENTER OF OAK RIDGE OAK RIDGE |
$56.42 | $182 | $138 | $150 | $100 | $156 | — | — | — |
| ROANE MEDICAL CENTER HARRIMAN |
$56.42 | $182 | $138 | $150 | $100 | $156 | — | — | — |
| FORT SANDERS REGIONAL MEDICAL CENTER KNOXVILLE |
$56.42 | $182 | $138 | $150 | $100 | $156 | — | — | — |
| CUMBERLAND MEDICAL CENTER CROSSVILLE |
$56.42 | $181 | $138 | $150 | $100 | $156 | — | — | — |
| FORT LOUDOUN MEDICAL CENTER LENOIR CITY |
$58.24 | $182 | $138 | $150 | $100 | $156 | — | — | — |
| ASCENSION SAINT THOMAS WEST HOSPITAL HARDING PK NASHVILLE |
$69.56 | $94.86 | — | $96.76 | $98.65 | $123 | $94.86 | — | $89.17 |
| ASCENSION SAINT THOMAS RUTHERFORD HOSPITAL MEDICAL CENTER PKWY MURFREESBORO |
$69.56 | — | — | — | — | — | — | — | — |
| HANCOCK COUNTY HOSPITAL SNEEDVILLE |
$77.74 | $46.00 | $157 | $240 | $75.13 | $240 | $244 | $252 | $240 |
| HANCOCK COUNTY HOSPITAL SNEEDVILLE |
$77.74 | $46.00 | $157 | $240 | $75.13 | $240 | $244 | $252 | $240 |
| JOHNSON COUNTY COMMUNITY HOSPITAL MOUNTAIN CITY |
$77.74 | $46.00 | $103 | $98.02 | $75.13 | $98.02 | $99.59 | $103 | $98.02 |
| LE BONHEUR CHILDREN'S HOSPITAL MEMPHIS |
$78.32 | — | — | — | — | — | — | — | — |
| METHODIST UNIVERSITY HOSPITAL MEMPHIS |
$78.32 | — | — | — | — | — | — | — | — |
| METHODIST LE BONHEUR GERMANTOWN HOSPITAL GERMANTOWN |
$78.32 | — | — | — | — | — | — | — | — |
| METHODIST NORTH HOSPITAL MEMPHIS |
$78.32 | — | — | — | — | — | — | — | — |
| METHODIST SOUTH HOSPITAL MEMPHIS |
$78.32 | — | — | — | — | — | — | — | — |
| SYCAMORE SHOALS HOSPITAL ELIZABETHTON |
$79.20 | $39.00 | $101 | $95.94 | $75.13 | $102 | $95.94 | $101 | $95.94 |
| JOHNSON CITY MEDICAL CENTER JOHNSON CITY |
$79.20 | $44.00 | $101 | $95.94 | $75.13 | $102 | $95.94 | $101 | $95.94 |
| GREENEVILLE COMMUNITY HOSPITAL GREENEVILLE |
$79.20 | $37.00 | $101 | $95.94 | $75.13 | $102 | $95.94 | $101 | $95.94 |
| INDIAN PATH COMMUNITY HOSPITAL KINGSPORT |
$79.20 | $38.00 | $101 | $95.94 | $75.13 | $102 | $95.94 | $101 | $95.94 |
| HAWKINS COUNTY MEMORIAL HOSPITAL ROGERSVILLE |
$79.20 | $43.00 | $101 | $95.94 | $75.13 | $102 | $95.94 | $101 | $95.94 |
| BRISTOL REGIONAL MEDICAL CENTER BRISTOL |
$79.20 | $57.00 | $101 | $95.94 | $75.13 | $102 | $95.94 | $101 | $95.94 |
| FRANKLIN WOODS COMMUNITY HOSPITAL JOHNSON CITY |
$79.20 | $46.00 | $101 | $95.94 | $91.33 | $102 | $95.94 | $101 | $95.94 |
| HOLSTON VALLEY MEDICAL CENTER KINGSPORT |
$79.20 | $61.00 | $101 | $95.94 | $75.13 | $102 | $95.94 | $101 | $95.94 |
| WILLIAMSON MEDICAL CENTER FRANKLIN |
$91.28 | $73.99 | $97.92 | $94.86 | $94.86 | $96.76 | $94.86 | $96.76 | — |
| SWEETWATER HOSPITAL ASSOCIATION SWEETWATER |
$107 | — | — | — | — | — | — | — | — |
| HAYWOOD COUNTY COMMUNITY HOSPITAL BROWNSVILLE |
$115 | — | — | — | — | — | — | — | — |
| HOUSTON COUNTY COMMUNITY HOSPITAL ERIN |
$115 | — | — | — | — | — | — | — | — |
| HENDERSON COUNTY COMMUNITY HOSPITAL LEXINGTON |
$115 | — | — | — | — | — | — | — | — |
| STARR REGIONAL MEDICAL CENTER ATHENS |
$121 | $40.40 | $52.20 | $51.00 | $74.00 | $300 | $74.00 | $103 | $100 |
| STARR REGIONAL MEDICAL CENTER ETOWAH ETOWAH |
$121 | — | — | — | — | — | — | — | — |
| ASCENSION SAINT THOMAS RIVER PARK HOSPITAL SPARTA RD MCMINNVILLE |
$123 | $94.86 | $132 | $96.76 | $94.86 | $123 | $94.86 | — | $94.86 |
| PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE |
$126 | — | — | — | — | — | — | — | — |
| ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL SEWELL DR SPARTA |
$130 | $94.86 | $132 | $96.76 | $64.77 | $123 | $94.86 | — | $94.86 |
| ASCENSION SAINT THOMAS STONES RIVER HOSPITAL DOOLITTLE RD WOODBURY |
$130 | $94.86 | $132 | $96.76 | $64.77 | $123 | $94.86 | — | $94.86 |
| ASCENSION SAINT THOMAS DEKALB W MAIN ST SMITHVILLE |
$130 | $94.86 | $132 | $96.76 | $64.77 | $123 | $94.86 | — | $94.86 |
| HARDIN MEDICAL CENTER SAVANNAH |
$145 | $55.00 | $209 | — | — | — | — | — | — |
| MARSHALL MEDICAL CENTER LEWISBURG |
$150 | — | — | $69.60 | $90.29 | — | $110 | — | — |
| VANDERBILT WILSON COUNTY HOSPITAL LEBANON |
$155 | $70.48 | — | — | — | — | — | — | — |
| VANDERBILT BEDFORD HOSPITAL SHELBYVILLE |
$155 | $70.48 | — | — | — | — | — | — | — |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL TULLAHOMA |
$155 | $70.48 | — | — | — | — | — | — | — |
| CHI MEMORIAL HOSPITAL HIXSON HIXSON |
$157 | $70.00 | $121 | $371 | $96.40 | $106 | — | — | — |
| WAYNE MEDICAL CENTER WAYNESBORO |
$164 | $99.60 | $99.60 | $62.40 | $90.29 | $99.60 | $95.53 | — | $99.60 |
| MAURY REGIONAL HOSPITAL COLUMBIA |
$164 | $94.86 | $94.86 | $46.10 | $90.29 | $97.71 | $94.86 | — | $94.86 |
| MACON COMMUNITY HOSPITAL LAFAYETTE |
$171 | $40.00 | $80.00 | $242 | $82.53 | $82.53 | $82.53 | — | — |
| LINCOLN MEDICAL CENTER FAYETTEVILLE |
$172 | — | $95.76 | — | — | — | — | — | — |
| SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM SEWANEE HOSPITAL ROAD WINCHESTER |
$200 | $40.40 | $52.20 | $52.00 | $74.00 | — | $74.00 | $103 | $100 |
| UNITY PSYCHIATRIC CARE CLARKSVILLE CLARKSVILLE |
$215 | $215 | $215 | — | — | — | — | — | — |
| UNITY PSYCHIATRIC CARE MARTIN MARTIN |
$215 | $215 | $215 | — | — | — | — | — | — |
| UNITY PSYCHIATRIC CARE COLUMBIA COLUMBIA |
$215 | $215 | $215 | — | — | — | — | — | — |
| UNITY PSYCHIATRIC CARE MEMPHIS MEMPHIS |
$215 | $215 | $215 | — | — | — | — | — | — |
| VANDERBILT CLARKSVILLE HOSPITAL CLARKSVILLE |
$221 | $74.00 | $123 | $96.14 | $84.20 | $94.86 | $93.34 | $94.82 | $93.34 |
| CHI MEMORIAL HOSPITAL CHATTANOOGA CHATTANOOGA |
$224 | $70.00 | $121 | $371 | $96.40 | $111 | — | — | — |
| HIGHPOINT HEALTH - SUMNER WITH ASCENSION SAINT THOMAS GALLATIN |
$241 | $102 | $52.20 | $31.10 | $69.00 | $215 | $100 | $103 | $100 |
| NASHVILLE GENERAL HOSPITAL NASVILLE |
$254 | — | $43.69 | $233 | $93.19 | — | — | — | — |
| MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT NASHVILLE |
$289 | $87.59 | $101 | $101 | $256 | $103 | $95.91 | — | — |
| MONROE CARELL JR. CHILDREN'S HOSPITAL AT VANDERBILT NASHVILLE |
$289 | $87.59 | $101 | $101 | $256 | $103 | $95.91 | — | — |
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 $130 for this?
That is the median of what the 77 Tennessee 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 Tennessee, Medicare reimburses about $95.94 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Tennessee range from $51.81 to $1,558 — that means hospital cash prices are typically 1.4x 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 Tennessee?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Tennessee range from $51.81 to $1,558, with a median of $130. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Tennessee?
- The cheapest Tennessee hospital published cash price for this procedure is $51.81. 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 Tennessee
Methodology. Cash prices and insurance-negotiated rates published by each Tennessee facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.