Evaluation for Occupational Therapy, Typically 1 Hour Cost in Texas
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 306 Texas hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $357
📉 Low $33.75
📈 High $3,065
🏥 306 hospitals
🏛️ 234 with insurance contracts
🇺🇸 Medicare $100
Hospital comparison — Texas
Sorted by cash price (lowest first). Showing top 60 of 306 hospitals.
Billed more than $357 for this? That gap is evidence.
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| Hospital | Cash | BCBS | Aetna | UHC | Cigna | MultiPlan | Centene | Humana | Molina |
|---|---|---|---|---|---|---|---|---|---|
| UT HEALTH QUITMAN QUITMAN |
$33.75 | — | — | — | — | — | — | — | — |
| BSA HOSPITAL AMARILLO |
$38.40 | — | — | — | — | — | — | — | — |
| BSA HARRINGTON CANCER CENTER AMARILLO |
$38.40 | — | — | — | — | — | — | — | — |
| UT HEALTH PITTSBURG PITTSBURG |
$39.06 | — | — | — | — | — | — | — | — |
| UT HEALTH CARTHAGE CARTHAGE |
$45.10 | — | — | — | — | — | — | — | — |
| UT HEALTH JACKSONVILLE JACKSONVILLE |
$45.10 | — | — | — | — | — | — | — | — |
| UT HEALTH HENDERSON HENDERSON |
$45.10 | — | — | — | — | — | — | — | — |
| UT HEALTH NORTH CAMPUS TYLER TYLER |
$52.60 | — | — | — | — | — | — | — | — |
| NACOGDOCHES MEMORIAL HOSPITAL NACOGDOCHES |
$55.00 | $101 | $146 | $134 | — | $146 | — | $98.00 | $103 |
| BAYLOR SCOTT & WHITE SURGICAL HOSPITAL FORT WORTH FORT WORTH |
$73.80 | $3,986 | — | — | — | — | — | — | — |
| BOMAR REHABILITATION CENTER NACOGDOCHES |
$81.00 | $149 | $217 | $134 | — | $217 | — | — | $271 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER UPTOWN DALLAS |
$82.20 | $3,986 | — | — | — | — | — | — | — |
| NORTH TEXAS MEDICAL CENTER GAINESVILLE |
$84.00 | $93.00 | $98.00 | $98.00 | $135 | $236 | — | $98.00 | $98.00 |
| UT HEALTH EAST TEXAS REHABILITATION HOSPITAL TYLER |
$93.40 | — | — | — | — | — | — | — | — |
| COLUMBUS COMMUNITY HOSPITAL COLUMBUS |
$93.75 | $246 | — | $125 | — | — | — | — | — |
| UT HEALTH TYLER HOSPITAL TYLER |
$96.70 | — | — | — | — | — | — | — | — |
| MISSION REGIONAL MEDICAL CENTER MISSION |
$98.00 | $98.04 | $98.04 | $98.04 | $98.04 | — | $98.04 | — | $103 |
| KNAPP MEDICAL CENTER WESLACO |
$98.00 | $98.04 | — | $98.04 | $98.04 | $103 | $98.04 | — | $103 |
| HARLINGEN MEDICAL CENTER HARLINGEN |
$98.00 | $98.04 | $92.39 | $98.04 | $98.04 | — | $98.04 | $98.04 | $103 |
| ACUTE REHABILITATION HOSPITAL OF PLANO SUITE 200 |
$98.43 | — | — | — | — | — | — | — | — |
| DALLAS REGIONAL MEDICAL CENTER MESQUITE |
$100 | $97.76 | $101 | $89.00 | $101 | $106 | $101 | — | $106 |
| DALLAS MEDICAL CENTER DALLAS |
$100 | $101 | $101 | $87.00 | $101 | — | $101 | $101 | $106 |
| CHRISTUS SANTA ROSA HOSPITAL - WESTOVER HILLS SAN ANTONIO |
$108 | $226 | $64.99 | $259 | $283 | — | — | $208 | — |
| HUNTSVILLE MEMORIAL HOSPITAL HUNTSVILLE |
$110 | $221 | $60.00 | $98.00 | $529 | $397 | $98.00 | $356 | $113 |
| LUBBOCK HEART HOSPITAL LUBBOCK |
$111 | $98.01 | $26.80 | $98.01 | $85.00 | $75.00 | $98.01 | $98.01 | — |
| NORTH CENTRAL SURGICAL CENTER UNIT 100 |
$112 | $3,986 | — | — | — | — | — | — | — |
| STEPHENS MEMORIAL HOSPITAL BRECKENRIDGE |
$112 | $128 | $128 | $57.60 | $114 | — | — | $57.60 | — |
| NORTH RUNNELS HOSPITAL WINTERS |
$126 | $135 | $180 | — | $135 | — | — | — | — |
| CORYELL MEMORIAL HOSPITAL GATESVILLE |
$127 | $163 | $180 | $212 | $56.00 | $66.00 | — | $66.00 | — |
| MIDCOAST MEDICAL CENTER CROCKETT CROCKETT |
$132 | — | — | — | — | — | — | — | — |
| UNIVERSITY DIALYSIS WEST SAN ANTONIO |
$140 | $99.75 | $95.00 | $64.00 | — | $97.79 | $97.79 | $97.79 | $101 |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS |
$141 | $103 | $103 | $100 | $192 | — | — | $97.79 | $97.79 |
| ASCENSION SETON MEDICAL CENTER AUSTIN AUSTIN |
$141 | $159 | $97.79 | $97.79 | — | — | $97.79 | $97.79 | — |
| ASCENSION SETON NORTHWEST HOSPITAL AUSTIN |
$141 | $159 | $97.79 | $99.75 | — | — | $97.79 | $97.79 | — |
| ASCENSION SETON MEDICAL CENTER HAYS KYLE |
$141 | $159 | $97.79 | $97.79 | — | — | $97.79 | $97.79 | — |
| ASCENSION SETON SOUTHWEST HOSPITAL AUSTIN |
$141 | $159 | $97.79 | $99.75 | — | — | $97.79 | $97.79 | — |
| CHRISTUS HEALTH PALESTINE PALESTINE |
$145 | — | — | — | — | — | — | — | — |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD KINGWOOD |
$145 | $410 | $154 | — | — | — | — | — | — |
| PAMPA REGIONAL MEDICAL CENTER PAMPA |
$150 | $80.89 | $96.08 | $79.00 | — | — | — | — | $103 |
| ASCENSION SETON HIGHLAND LAKES BURNET |
$152 | $159 | $160 | — | — | — | — | — | — |
| ASCENSION SETON EDGAR B DAVIS HOSPITAL LULING |
$152 | $159 | $160 | — | — | — | — | — | — |
| CLAY COUNTY MEMORIAL HOSPITAL HENRIETTA |
$153 | $70.00 | $55.00 | — | $59.00 | — | — | — | — |
| DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS AUSTIN |
$153 | $159 | $160 | — | — | — | — | — | — |
| ASCENSION SETON BASTROP BASTROP |
$154 | $159 | $97.79 | $99.75 | — | — | $97.79 | $97.79 | — |
| ASCENSION SETON SMITHVILLE REGIONAL HOSPITAL SMITHVILLE |
$154 | $159 | $160 | — | — | — | — | — | — |
| ST. LUKE'S HEALTH BRAZOSPORT HOSPITAL LAKE JACKSON |
$159 | $183 | $68.10 | $90.00 | $255 | — | — | — | — |
| EASTLAND MEMORIAL HOSPITAL EASTLAND |
$162 | $220 | — | $200 | — | — | — | — | — |
| ST LUKES HEALTH MEMORIAL LUFKIN LUFKIN |
$164 | $199 | $690 | $274 | $100 | $745 | — | $558 | — |
| ST. LUKE'S HEALTH MEMORIAL HOSPITAL SAN AUGUSTINE SAN AUGUSTINE |
$164 | $199 | $274 | $197 | $100 | $745 | — | $766 | — |
| ST LUKE'S HEALTH - MEMORIAL LIVINGSTON LIVINGSTON |
$164 | $199 | $668 | $241 | $100 | $745 | — | $526 | — |
| LIMESTONE MEDICAL CENTER HAMLIN |
$165 | $79.78 | $220 | $79.78 | $193 | — | — | $79.78 | — |
| JACKSON COUNTY HOSPITAL DISTRICT EDNA |
$166 | $124 | $155 | $166 | $176 | — | — | $145 | — |
| YOAKUM COUNTY HOSPITAL DENVER CITY |
$166 | — | — | — | — | — | — | — | — |
| SEYMOUR HOSPITAL SEYMOUR |
$168 | $192 | $156 | $110 | $192 | — | — | $156 | — |
| FISHER COUNTY HOSPITAL DISTRICT ROTAN |
$168 | $113 | $168 | $198 | $168 | — | — | — | — |
| HANSFORD COUNTY HOSPITAL SPEARMAN |
$169 | $158 | — | — | $203 | — | — | — | — |
| CRANE MEMORIAL HOSPITAL CRANE |
$172 | $155 | — | $120 | — | — | — | — | — |
| HEMPHILL COUNTY HOSPITAL CANADIAN |
$173 | $115 | $115 | $115 | — | — | — | $115 | — |
| COVENANT HOSPITAL PLAINVIEW PLAINVIEW |
$175 | $97.74 | $101 | $106 | — | — | — | — | — |
| ASCENSION PROVIDENCE HOSPITAL WACO |
$177 | $154 | $99.75 | $99.75 | — | — | $147 | — | — |
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 $357 for this?
That is the median of what the 306 Texas 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 Texas, Medicare reimburses about $100 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Texas range from $33.75 to $3,065 — that means hospital cash prices are typically 3.6x 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 Texas?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Texas range from $33.75 to $3,065, with a median of $357. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Texas?
- The cheapest Texas hospital published cash price for this procedure is $33.75. 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 Texas
Methodology. Cash prices and insurance-negotiated rates published by each Texas facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.