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Evaluation for Occupational Therapy, Typically 1 Hour Cost in West Virginia
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 29 West Virginia hospitals. CPT 97167. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $208
📉 Low $86.50
📈 High $568
🏥 29 hospitals
🏛️ 25 with insurance contracts
🇺🇸 Medicare $94.29
Hospital comparison — West Virginia
Sorted by cash price (lowest first). Showing top 29 of 29 hospitals.
Billed more than $208 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Humana | Cigna | BCBS | MultiPlan | Medicare | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| SUMMERSVILLE REGIONAL MEDICAL CENTER SUMMERSVILLE |
$86.50 | $30.00 | $29.00 | $30.45 | $95.00 | $68.48 | $95.00 | $29.00 | — |
| SUMMERSVILLE REGIONAL MEDICAL CENTER SUMMERSVILLE |
$86.50 | $30.00 | $29.00 | $30.45 | $95.00 | $68.48 | $95.00 | $29.00 | — |
| BOONE MEMORIAL HOSPITAL MADISON |
$135 | $75.60 | — | $74.09 | $201 | — | — | $74.09 | $81.00 |
| BROADDUS HOSPITAL PHILIPPI |
$141 | $71.48 | $149 | $94.29 | $75.94 | — | $187 | — | — |
| ST JOSEPH HOSPITAL BUCKHANNON |
$144 | $32.00 | $34.88 | — | $95.00 | $81.46 | $95.00 | — | — |
| JACKSON GENERAL HOSPITAL RIPLEY |
$150 | $29.00 | $28.00 | $29.40 | $95.00 | $82.35 | $95.00 | $28.00 | — |
| CABELL HUNTINGTON HOSPITAL HUNTINGTON |
$162 | $95.14 | $94.20 | $94.20 | — | — | — | — | — |
| REYNOLDS MEMORIAL HOSPITAL GLEN DALE |
$174 | $60.00 | $94.29 | $99.00 | $92.00 | $59.69 | $95.00 | $94.29 | — |
| JEFFERSON MEDICAL CENTER RANSON |
$175 | $34.00 | $32.00 | $33.60 | $92.00 | $82.33 | $95.00 | $32.00 | — |
| MONTGOMERY GENERAL HOSPITAL FAYETTE COUNTY |
$182 | $36.00 | $41.00 | $39.00 | — | — | — | $39.00 | $44.00 |
| POTOMAC VALLEY HOSPITAL KEYSER |
$183 | $36.00 | $34.00 | $35.70 | $90.00 | $82.69 | $95.00 | $34.00 | — |
| CAMDEN CLARK MEDICAL CENTER PARKERSBURG |
$185 | $60.00 | $90.00 | $99.00 | $90.00 | $79.05 | $95.00 | $94.29 | — |
| UNITED HOSPITAL CENTER BRIDGEPORT |
$185 | $60.00 | $94.29 | $99.00 | $92.00 | $80.12 | $95.00 | $94.29 | — |
| GRANT MEMORIAL HOSPITAL PETERSBURG |
$205 | $51.00 | $49.00 | $51.45 | $95.00 | $80.03 | $95.00 | $49.00 | — |
| BERKELEY MEDICAL CENTER MARTINSBURG |
$208 | $60.00 | $90.00 | $99.00 | $92.00 | $77.78 | $95.00 | $94.29 | — |
| WHEELING HOSPITAL WHEELING |
$227 | $60.00 | $94.29 | $99.00 | $92.00 | $75.00 | $95.00 | $94.29 | — |
| ROANE GENERAL HOSPITAL SPENCER |
$257 | — | — | — | — | — | — | — | — |
| WEIRTON MEDICAL CENTER WEIRTON |
$270 | $76.31 | $94.29 | $99.00 | $92.00 | $59.74 | $95.00 | $94.29 | $61.73 |
| WETZEL COUNTY HOSPITAL NEW MARTINSVILLE |
$274 | $60.00 | $93.74 | $99.00 | $95.00 | $56.47 | $95.00 | $94.29 | — |
| PRINCETON COMMUNITY HOSPITAL PRINCETON |
$315 | $60.00 | $90.00 | $99.00 | — | $508 | $95.00 | $94.29 | $61.73 |
| RALEIGH GENERAL HOSPITAL BECKLEY |
$330 | $84.00 | $79.70 | $100 | $60.20 | $100 | $95.00 | $100 | — |
| BECKLEY ARH HOSPITAL STANDORD ROAD BECKLEY |
$338 | $95.10 | $95.10 | $95.10 | — | — | — | — | — |
| WAR MEMORIAL HOSPITAL BERKELEY SPRINGS |
$359 | $180 | $180 | $184 | $150 | $180 | — | — | $195 |
| HAMPSHIRE MEMORIAL HOSPITAL ROMNEY |
$359 | $185 | $185 | $189 | $150 | $183 | — | — | $185 |
| GREENBRIER VALLEY MEDICAL CENTER RONCEVERTE |
$478 | — | — | — | — | — | — | — | — |
| CAMC PLATEAU MEDICAL CENTER OAK HILL |
$484 | — | — | — | — | — | — | — | — |
| SAINT FRANCIS HOSPITAL SOUTH CHARLESTON |
$506 | $60.00 | $94.29 | $99.00 | $92.00 | $436 | $95.00 | $94.29 | — |
| FAIRMONT MEDICAL CENTER MORGANTOWN |
$544 | $60.00 | $90.00 | $99.00 | $88.00 | $73.77 | $95.00 | $94.29 | $61.73 |
| CHARLESTON AREA MEDICAL CENTER GENERAL HOSPITAL CHARLESTON |
$568 | — | — | — | — | — | — | — | — |
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 $208 for this?
That is the median of what the 29 West 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 West Virginia, Medicare reimburses about $94.29 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in West Virginia range from $86.50 to $568 — that means hospital cash prices are typically 2.2x 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 West Virginia?
- Cash prices for evaluation for occupational therapy, typically 1 hour (CPT 97167) in West Virginia range from $86.50 to $568, with a median of $208. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 1 hour in West Virginia?
- The cheapest West Virginia hospital published cash price for this procedure is $86.50. 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 West Virginia
Methodology. Cash prices and insurance-negotiated rates published by each West 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.