Evaluation for Occupational Therapy, Typically 1 Hour Cost in Virginia

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 68 Virginia hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $254 📉 Low $77.74 📈 High $1,405 🏥 68 hospitals 🏛️ 47 with insurance contracts 🇺🇸 Medicare $99.61

Hospital comparison — Virginia

Sorted by cash price (lowest first). Showing top 60 of 68 hospitals.

Billed more than $254 for this? That gap is evidence. Build my dispute letter
HospitalCashAetnaUHCCignaHumanaBCBSDevotedMultiPlanMedicare
LEE COUNTY COMMUNITY HOSPITAL
PENNINGTON GAP
$77.74 $74.36$46.00$78.08$75.55$76.59$78.08—$74.36
LEE COUNTY COMMUNITY HOSPITAL
PENNINGTON GAP
$77.74 $74.36$46.00$78.08$75.55$76.59$78.08—$74.36
DICKENSON COMMUNITY HOSPITAL
CLINTWOOD
$77.74 $101$46.00$106$103$99.61$106—$101
RUSSELL COUNTY HOSPITAL
LEBANON
$79.20 $99.61$46.00$105$101$99.61$105—$99.61
SMYTH COUNTY COMMUNITY HOSPITAL
MARION
$79.20 $99.61$46.00$105$99.61$99.61$105—$99.61
JOHNSTON MEMORIAL HOSPITAL
ABINGDON
$79.20 $99.61$46.00$105$99.61$75.13$105—$99.61
LONESOME PINE HOSPITAL
BIG STONE GAP
$79.20 $99.61$46.00$105$99.61$99.61$105—$99.61
BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL
KILMARNOCK
$101 ————————
BON SECOURS RICHMOND COMMUNITY HOSPITAL
RICHMOND
$117 ————————
WYTHE COUNTY COMMUNITY HOSPITAL
WYTHEVILLE
$120 $41.60$63.10$64.70$100$8.60——$100
STAFFORD HOSPITAL
HOSPITAL CENTER BLVD. STAFFORD
$121 $353$353—$99.00$99.00—$387—
MARY WASHINGTON HOSPITAL
FREDERICKSBURG
$121 $353$353—$99.00$99.00—$387—
UVA CULPEPER MEDICAL CENTER
CULPEPER
$144 ————————
BUCHANAN GENERAL HOSPITAL
GRUNDY
$190 $98.60$97.62—$97.62———$97.62
CARILION ROANOKE COMMUNITY HOSPITAL
ELM AVE ROANOKE
$192 $280$112$371$112————
CARILION ROANOKE COMMUNITY HOSPITAL
ELM AVE ROANOKE
$192 $280$112$371$112————
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
HEALTH CIR LEXINGTON
$192 $280$112$441$112————
CARILION ROANOKE MEMORIAL HOSPITAL
BELLEVIEW AVE SE ROANOKE
$192 $280$112$371$112————
CARILION GILES COMMUNITY HOSPITAL
BELLEVIEW AVE SE ROANOKE
$192 $280$112$371$112————
CARILION FRANKLIN MEMORIAL HOSPITAL
S MAIN ST ROCKY MT
$192 $280$112$371$112————
CARILION TAZEWELL COMMUNITY HOSPITAL
BEN BOLT AVE TAZEWELL
$192 $280$112$349$112————
CARILION NEW RIVER VALLEY MEDICAL CENTER
LAMB CIRCLE CHRISTIANSBURG
$192 $280$112$371$112————
SOVAH HEALTH DANVILLE
DANVILLE
$202 $51.90$54.62$58.90$102$9.60—$90.00$100
BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL
FRANKLIN
$202 ————————
CENTRA BEDFORD MEMORIAL HOSPITAL
BEDFORD
$228 $34.20$140$90.00—————
CENTRA SPECIALTY HOSPITAL
RIVERMONT AVE LYNCHBURG
$228 $34.20$89.00$67.60—————
CENTRA SOUTHSIDE COMMUNITY HOSPITAL
OAK STREET FARMVILLE
$228 $34.20$140$70.90—————
CENTRA LYNCHBURG GENERAL HOSPITAL
LYNCHBURG
$228 $34.20$89.00$67.60—————
TWIN COUNTY REGIONAL HOSPITAL
GALAX
$230 $34.20$50.30$60.50$102$9.50——$100
INOVA FAIR OAKS HOSPITAL
JOSEPH SIEWICK DRIVE FAIRFAX
$246 ————————
INOVA FAIRFAX HOSPITAL
FALLS CHURCH
$246 ————————
INOVA LOUDOUN HOSPITAL
LEESBURG
$246 ————————
INOVA MOUNT VERNON HOSPITAL
ALEXANDRIA
$246 ————————
INOVA ALEXANDRIA HOSPITAL
ALEXANDRIA
$246 ————————
BON SECOURS SOUTHSIDE REGIONAL MEDICAL CENTER
PETERSBURG
$254 ————————
AUGUSTA HEALTH-MAIN CAMPUS
FISHERSVILLE
$274 $101———$99.61———
BON SECOURS MARY IMMACULATE HOSPITAL
NEWPORT NEWS
$281 ————————
SOVAH HEALTH MARTINSVILLE
MARTINSVILLE
$285 $51.90$54.62$58.90$102$9.60—$90.00$100
UVA HAYMARKET MEDICAL CENTER
HAYMARKET
$320 ————————
UVA PRINCE WILLIAM MEDICAL CENTER
MANASSAS
$320 ————————
FAUQUIER HOSPITAL
WARRENTON
$323 $58.30$102$68.70$102$14.70——$100
CLINCH VALLEY MEDICAL CENTER
RICHLANDS
$336 $51.30$54.90$58.90$100$8.20——$100
BATH COMMUNITY HOSPITAL
HOT SPRINGS
$343 $465$383——————
SHELTERING ARMS INSTITUTE
RICHMOND
$350 ————————
BON SECOURS ST. FRANCIS MEDICAL CENTER
MIDLOTHIAN
$351 ————————
BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
MECHANICSVILLE
$351 ————————
BON SECOURS ST. MARY'S HOSPITAL
RICHMOND
$351 ————————
PAGE MEMORIAL HOSPITAL
LURAY
$359 $159$162$127$163$99.61———
VALLEY HEALTH SHENANDOAH MEMORIAL HOSPITAL
WOODSTOCK
$359 $149$149$150$152$99.61———
VALLEY HEALTH WARREN MEMORIAL HOSPITAL
FRONT ROYAL
$359 $70.00$99.61$150$99.61$99.61———
VALLEY HEALTH WINCHESTER MEDICAL CENTER
WINCHESTER
$359 $70.00$99.61$150$102$99.61———
BON SECOURS HARBOUR VIEW MEDICAL CENTER
SUFFOLK
$365 ————————
BON SECOURS MARYVIEW MEDICAL CENTER
PORTSMOUTH
$365 ————————
UVA CHILDRENS
LEE STREET CHARLOTTESVILLE
$385 ————————
BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER
EMPORIA
$444 ————————
SPOTSYLVANIA REGIONAL MEDICAL CENTER
FREDERICKSBURG
$732 $90.28$89.27$92.84$89.27—$89.27$520—
LEWISGALE HOSPITAL PULASKI
PULASKI
$734 $90.28$89.27$92.84$74.69—$89.27$565—
LEWISGALE HOSPITAL MONTGOMERY
BLACKSBURG
$745 $90.28$89.27$92.84$89.27—$89.27$574—
STONESPRINGS HOSPITAL CENTER
DULLES
$882 $90.28$89.27$92.84$74.69—$89.27——
RESTON HOSPITAL CENTER
RESTON
$882 $99.71$98.59$103$98.59—$98.59——
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 $254 for this?

That is the median of what the 68 Virginia 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 Virginia, Medicare reimburses about $99.61 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Virginia range from $77.74 to $1,405 — that means hospital cash prices are typically 2.5x 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 Virginia?
Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in Virginia range from $77.74 to $1,405, with a median of $254. Prices vary widely by hospital.
Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in Virginia?
The cheapest Virginia hospital published cash price for this procedure is $77.74. 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 Virginia

Methodology. Cash prices and insurance-negotiated rates published by each Virginia facility under federal price transparency rules (45 CFR § 180). CPT code 97167 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.