Evaluation for Occupational Therapy, Typically 1 Hour Cost in Utah
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 53 Utah hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $436
📉 Low $94.53
📈 High $592
🏥 53 hospitals
🏛️ 48 with insurance contracts
🇺🇸 Medicare $97.58
Hospital comparison — Utah
Sorted by cash price (lowest first). Showing top 53 of 53 hospitals.
Billed more than $436 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Humana | Molina | Cigna | MultiPlan | Devoted | TRICARE |
|---|---|---|---|---|---|---|---|---|---|
| CENTRAL VALLEY MEDICAL CENTER NEPHI |
$94.53 | $130 | $122 | $130 | — | $122 | — | — | — |
| CENTRAL VALLEY MEDICAL CENTER NEPHI |
$94.53 | $130 | $122 | $130 | — | $122 | — | — | — |
| COMMONSPIRIT HOLY CROSS HOSPITAL - MOUNTAIN POINT LEHI |
$111 | $316 | $123 | $103 | $103 | $148 | $192 | — | — |
| COMMONSPIRIT - HOLY CROSS HOSPITAL - DAVIS LAYTON |
$111 | $202 | $123 | $103 | $119 | $148 | $192 | — | — |
| COMMONSPIRIT HOLY CROSS HOSPITAL - JORDAN VALLEY WEST JORDAN |
$111 | $316 | $103 | $103 | $103 | $148 | $192 | — | — |
| COMMONSPIRIT HOLY CROSS HOSPITAL - JORDAN VALLEY WEST WEST VALLEY CITY |
$111 | $278 | $123 | $103 | $103 | $148 | $192 | — | — |
| COMMONSPIRIT - HOLY CROSS HOSPITAL - SALT LAKE SALT LAKE CITY |
$111 | $316 | $123 | $103 | $119 | $148 | $192 | — | — |
| SAN JUAN HEALTH BLANDING CLINIC MONTICELLO |
$118 | $160 | $151 | $103 | — | $151 | $151 | — | $103 |
| SAN JUAN HEALTH SPANISH VALLEY CLINIC MONTICELLO |
$118 | $160 | $151 | $103 | — | $151 | $151 | — | $103 |
| SAN JUAN HEALTH MONTICELLO CLINIC MONTICELLO |
$118 | $160 | $151 | $103 | — | $151 | $151 | — | $103 |
| CASTLEVIEW HOSPITAL PRICE |
$150 | $74.90 | $74.40 | $100 | $100 | $63.90 | $95.00 | — | $100 |
| MOUNTAIN VIEW HOSPITAL PAYSON PAYSON |
$158 | $87.59 | $45.70 | $82.44 | $47.91 | $63.04 | $106 | $85.87 | — |
| MOAB REGIONAL HOSPITAL MOAB |
$184 | $87.21 | $87.21 | $87.21 | $87.21 | $166 | — | — | $184 |
| ASHLEY REGIONAL MEDICAL CENTER VERNAL |
$204 | $77.70 | $74.20 | $95.00 | $98.00 | $63.90 | $97.00 | — | $100 |
| KANE COUNTY HOSPITAL KANAB |
$213 | $98.80 | $225 | $237 | $237 | $237 | — | — | $98.80 |
| TIMPANOGOS REGIONAL HOSPITAL OREM |
$314 | $87.59 | $100 | $82.44 | $72.98 | $85.87 | $198 | $85.87 | — |
| UINTAH BASIN MEDICAL CENTER ROOSEVELT |
$356 | $90.00 | $95.00 | $95.00 | $98.00 | $90.00 | $95.00 | — | — |
| CACHE VALLEY HOSPITAL NORTH LOGAN |
$387 | $87.59 | $143 | $82.44 | $72.98 | $85.87 | $259 | $85.87 | — |
| INTERMOUNTAIN HEALTH GARFIELD MEMORIAL HOSPITAL PANGUITCH |
$434 | — | $97.92 | — | $97.92 | — | — | — | — |
| INTERMOUNTAIN HEALTH SEVIER VALLEY HOSPITAL RICHFIELD |
$434 | $97.58 | $97.92 | $97.92 | $80.75 | — | — | — | — |
| INTERMOUNTAIN HEALTH BEAR RIVER VALLEY HOSPITAL TREMONTON |
$434 | $97.58 | $97.58 | $97.92 | $80.75 | — | — | — | — |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL SPANISH FORK |
$434 | $97.58 | $97.58 | $97.92 | $97.92 | — | — | — | — |
| INTERMOUNTAIN HEALTH FILLMORE COMMUNITY HOSPITAL FILLMORE |
$434 | $97.92 | $97.92 | $97.92 | $97.92 | — | — | — | — |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL DELTA |
$434 | $97.92 | $97.92 | $97.92 | $97.92 | — | — | — | — |
| LONE PEAK HOSPITAL DRAPER |
$435 | $87.59 | $139 | $82.44 | $72.98 | $85.87 | $274 | $85.87 | — |
| HERRIMAN EMERGENCY CENTER HERRIMAN |
$435 | $87.59 | $139 | $82.44 | $72.98 | $85.87 | $274 | $85.87 | — |
| INTERMOUNTAIN HEALTH LOGAN REGIONAL HOSPITAL LOGAN |
$436 | $97.58 | $97.58 | $97.92 | $82.60 | — | — | — | — |
| INTERMOUNTAIN HEALTH CEDAR CITY HOSPITAL CEDAR CITY |
$436 | $97.58 | $97.58 | $97.92 | $80.75 | — | — | — | — |
| INTERMOUNTAIN HEALTH PARK CITY HOSPITAL PARK CITY |
$436 | $97.58 | $97.58 | $97.92 | $80.27 | — | — | — | — |
| INTERMOUNTAIN HEALTH HEBER VALLEY HOSPITAL HEBER |
$436 | — | — | — | — | — | — | — | — |
| INTERMOUNTAIN HEALTH ST. GEORGE REGIONAL HOSPITAL SAINT GEORGE |
$436 | $97.58 | $97.58 | $97.92 | $97.58 | — | — | — | — |
| INTERMOUNTAIN HEALTH SANPETE VALLEY HOSPITAL MOUNT PLEASANT |
$436 | $97.92 | $97.92 | $97.92 | $97.92 | — | — | — | — |
| ST. MARKS HOSPITAL SALT LAKE CITY |
$451 | $87.59 | $144 | $82.44 | $72.98 | $85.87 | $284 | $85.87 | — |
| INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL - TAYLORSVILLE TAYLORSVILLE |
$490 | $97.19 | — | — | $97.58 | — | — | — | $97.84 |
| INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL SALT LAKE CITY |
$490 | $97.19 | — | — | $97.58 | — | — | — | $97.84 |
| INTERMOUNTAIN HEALTH PRIMARY CHILDREN'S HOSPITAL - LEHI LEHI |
$490 | $97.19 | — | — | $97.58 | — | — | — | $97.84 |
| BRIGHAM CITY COMMUNITY HOSPITAL BRIGHAM CITY |
$491 | $87.59 | $137 | $82.44 | $72.98 | $85.87 | $402 | $85.87 | — |
| UNIVERSITY OF UTAH HOSPITAL SALT LAKE CITY |
$520 | — | — | — | — | — | — | — | — |
| HUNTSMAN MENTAL HEALTH INSTITUTE SALT LAKE CITY |
$520 | — | — | — | — | — | — | — | — |
| UNIVERSITY OF UTAH HOSPITAL - HUNTSMAN CANCER INSTITUTE SALT LAKE CITY |
$520 | — | — | — | — | — | — | — | — |
| UNIVERSITY ORTHOPAEDIC CENTER SALT LAKE CITY |
$520 | — | — | — | — | — | — | — | — |
| INTERMOUNTAIN HEALTH MCKAY-DEE HOSPITAL OGDEN |
$545 | $97.58 | $97.58 | $97.92 | $97.58 | — | — | — | — |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL PROVO |
$545 | $97.58 | $97.58 | $97.92 | $80.75 | — | — | — | — |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL LAYTON |
$545 | $97.58 | $97.58 | $97.92 | $97.92 | — | — | — | — |
| INTERMOUNTAIN HEALTH AMERICAN FORK HOSPITAL AMERICAN FORK |
$545 | $97.58 | $97.58 | $97.92 | $97.92 | — | — | — | — |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL SANDY |
$545 | $97.58 | $97.58 | $97.92 | $97.92 | — | — | — | — |
| INTERMOUNTAIN HEALTH RIVERTON HOSPITAL RIVERTON |
$545 | $97.58 | $97.58 | $97.92 | $97.92 | — | — | — | — |
| INTERMOUNTAIN HEALTH LDS HOSPITAL C ST E |
$545 | $97.58 | $97.58 | $97.92 | $97.58 | — | — | — | — |
| INTERMOUNTAIN HEALTH INTERMOUNTAIN MEDICAL CENTER MURRAY |
$545 | $97.58 | $97.19 | $97.58 | $97.19 | — | — | — | — |
| INTERMOUNTAIN HEALTH OREM COMMUNITY HOSPITAL OREM |
$545 | $97.58 | $97.58 | $97.58 | $97.58 | — | — | — | — |
| LAKEVIEW HOSPITAL BOUNTIFUL |
$560 | $87.59 | $162 | $82.44 | $72.98 | $85.87 | $375 | $85.87 | — |
| PLEASANT VIEW EMERGENCY CENTER PLEASANT VIEW |
$592 | $87.59 | $178 | $82.44 | $72.98 | $85.87 | $373 | $85.87 | — |
| OGDEN REGIONAL MEDICAL CENTER OGDEN |
$592 | $87.59 | $178 | $82.44 | $72.98 | $85.87 | $373 | $85.87 | — |
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 $436 for this?
That is the median of what the 53 Utah 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 Utah, Medicare reimburses about $97.58 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Utah range from $94.53 to $592 — that means hospital cash prices are typically 4.5x 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 Utah?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Utah range from $94.53 to $592, with a median of $436. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Utah?
- The cheapest Utah hospital published cash price for this procedure is $94.53. 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 Utah
Methodology. Cash prices and insurance-negotiated rates published by each Utah facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.