Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Georgia
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 86 Georgia hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $192
📉 Low $46.75
📈 High $1,669
🏥 86 hospitals
🏛️ 51 with insurance contracts
🇺🇸 Medicare $98.44
Hospital comparison — Georgia
Sorted by cash price (lowest first). Showing top 60 of 86 hospitals.
Billed more than $192 for this? That gap is evidence.
Build my dispute letter
| Hospital | Cash | Aetna | Cigna | UHC | Humana | Centene | BCBS | MultiPlan | Kaiser |
|---|---|---|---|---|---|---|---|---|---|
| JEFFERSON HOSPITAL LOUISVILLE |
$46.75 | — | — | — | — | — | — | — | — |
| HAMILTON MEDICAL CENTER DALTON |
$51.81 | — | — | — | — | — | — | — | — |
| LIBERTY REGIONAL MEDICAL CENTER HINESVILLE |
$70.50 | — | — | $16.92 | $70.50 | $15.53 | — | — | — |
| PUTNAM GENERAL HOSPITAL EATONTON |
$82.50 | $79.23 | $79.23 | $80.85 | $79.23 | — | — | — | — |
| CLINCH MEMORIAL HOSPITAL HOMERVILLE |
$91.24 | $80.00 | $85.00 | $83.00 | $95.00 | $84.52 | — | — | — |
| SOUTHERN REGIONAL MEDICAL CENTER RIVERDALE |
$101 | $64.02 | $102 | $102 | $96.47 | $105 | $102 | $102 | — |
| WAYNE MEMORIAL HOSPITAL JESUP |
$109 | $160 | $146 | $183 | $174 | — | $134 | $196 | — |
| CHATUGE REGIONAL HOSPITAL HIAWASSEE |
$118 | $72.85 | $82.25 | $51.70 | $82.25 | $123 | $82.25 | — | — |
| UNION GENERAL HOSPITAL BLAIRSVILLE |
$120 | $97.24 | $95.33 | $95.33 | $95.33 | $37.81 | $95.33 | — | — |
| JASPER MEMORIAL HOSPITAL MONTICELLO |
$123 | $201 | $209 | $196 | $209 | $153 | $131 | $209 | $153 |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON BRASELTON |
$125 | $104 | $105 | — | $107 | — | $102 | — | — |
| NGMC GAINESVILLE GAINESVILLE |
$125 | $104 | $105 | — | $107 | — | $102 | — | — |
| NGMC HABERSHAM DEMOREST |
$125 | — | — | — | — | — | — | — | — |
| NGMC BARROW WINDER |
$125 | — | — | — | — | — | — | — | — |
| NGMC LUMPKIN DAHLONEGA |
$125 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH NAVICENT BALDWIN MILLEDGEVILLE |
$125 | $94.97 | $192 | $94.97 | $94.97 | $75.00 | — | $162 | — |
| ATRIUM HEALTH NAVICENT PEACH BYRON |
$128 | $53.55 | $186 | $53.55 | $53.55 | $76.50 | — | $166 | — |
| TANNER MEDICAL CENTER - CARROLLTON CARROLLTON |
$128 | $78.00 | $50.00 | $78.00 | — | — | — | $80.00 | $78.00 |
| HIGGINS GENERAL HOSPITAL BREMEN |
$128 | $20.00 | $20.00 | $78.00 | — | — | — | $80.00 | $78.00 |
| TANNER MEDICAL CENTER VILLA RICA VILLA RICA |
$128 | $78.00 | $50.00 | $78.00 | — | — | — | $80.00 | $95.33 |
| WILLOWBROOKE AT TANNER VILLA RICA VILLA RICA |
$128 | $78.00 | $50.00 | — | — | — | — | $80.00 | — |
| CHI MEMORIAL HOSPITAL GEORGIA FORT OGLETHORPE |
$135 | $370 | $121 | $270 | — | $68.55 | $102 | — | — |
| MILLER COUNTY HOSPITAL COLQUITT |
$140 | $125 | $218 | — | $125 | $68.55 | — | — | — |
| ATRIUM HEALTH FLOYD POLK MEDICAL CENTER CEDARTOWN |
$140 | $56.20 | $56.20 | $56.20 | $56.20 | $38.58 | — | $197 | — |
| CANDLER HOSPITAL SAVANNAH |
$142 | $102 | — | $103 | $104 | $107 | — | — | — |
| ST JOSEPH'S HOSPITAL - SAVANNAH SAVANNAH |
$142 | $102 | — | $103 | $104 | $107 | — | — | — |
| PIEDMONT MCDUFFIE THOMSON |
$148 | — | — | — | — | — | — | — | — |
| PIEDMONT COLUMBUS REGIONAL MIDTOWN COLUMBUS |
$148 | — | — | — | — | — | — | — | — |
| PIEDMONT COLUMBUS REGIONAL NORTHSIDE COLUMBUS |
$148 | — | — | — | — | — | — | — | — |
| PIEDMONT AUGUSTA HOSPITAL AUGUSTA |
$148 | — | — | — | — | — | — | — | — |
| DONALSONVILLE HOSPITAL DONALSONVILLE |
$154 | $85.00 | — | $85.00 | $85.00 | $130 | — | — | — |
| CITY OF HOPE ATLANTA CANCER HOSPITAL NEWNAN |
$166 | $213 | $94.97 | $94.97 | — | $75.19 | $94.97 | — | — |
| ARCHBOLD MITCHELL COUNTY HOSPITAL CAMILLA |
$173 | — | — | — | — | — | — | — | — |
| CRISP REGIONAL HOSPITAL CORDELE |
$180 | $88.00 | $93.00 | $74.00 | $70.00 | $124 | $87.00 | — | — |
| ARCHBOLD GRADY GENERAL HOSPITAL CAIRO |
$191 | — | — | — | — | — | — | — | — |
| ARCHBOLD BROOKS QUITMAN |
$191 | — | — | — | — | — | — | — | — |
| ARCHBOLD HOSPITAL THOMASVILLE |
$191 | — | — | — | — | — | — | — | — |
| PIEDMONT WALTON MONROE |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT HENRY HOSPITAL STOCKBRIDGE |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT ATLANTA HOSPITAL ATLANTA |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT NEWTON HOSPITAL COVINGTON |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT MACON NORTH MACON |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT EASTSIDE MEDICAL CENTER SNELLVILLE |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT MOUNTAINSIDE HOSPITAL JASPER |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT BEHAVIORAL HEALTH AT MACON BOX 9366 |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT FAYETTE HOSPITAL FAYETTEVILLE |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT CARTERSVILLE MEDICAL CENTER CARTERSVILLE |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER ATHENS |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT ROCKDALE HOSPITAL CONYERS |
$192 | — | — | — | — | — | — | — | — |
| PIEDMONT NEWNAN HOSPITAL NEWNAN |
$192 | — | — | — | — | — | — | — | — |
| APPLING HEALTHCARE SYSTEM BAXLEY |
$194 | $90.00 | $221 | $220 | — | — | — | — | — |
| OPTIM MEDICAL CENTER TATTNALL REIDSVILLE |
$209 | — | $65.00 | $184 | — | — | — | $85.00 | — |
| ATRIUM HEALTH FLOYD HARBIN MEDICAL CENTER ROME |
$222 | $95.92 | $94.97 | $94.97 | $94.97 | $75.79 | — | $311 | — |
| ST MARY'S GOOD SAMARITAN HOSPITAL GREENSBORO |
$228 | — | — | — | — | — | — | — | — |
| BACON COUNTY HOSPITAL ALMA |
$232 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH NAVICENT REHABILITATION MACON |
$236 | $94.97 | $266 | $94.97 | $94.97 | $128 | — | $306 | $306 |
| UPSON REGIONAL MEDICAL CENTER THOMASTON |
$243 | $104 | — | — | — | $152 | — | — | — |
| DODGE COUNTY HOSPITAL EASTMAN |
$248 | $186 | $1.00 | $1.00 | — | — | $103 | — | — |
| ST MARY'S SACRED HEART HOSPITAL LAVONIA |
$259 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH LEVINE CHILDREN'S BEVERLY KNIGHT OLSON CHILDREN'S HOSPITAL MACON |
$290 | $94.97 | $266 | $94.97 | $94.97 | $128 | — | $377 | $377 |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 97166, 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: $243 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $192 for this?
That is the median of what the 86 Georgia hospitals above publish for Evaluation for occupational therapy, typically 45 minutes — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
Medicare reimbursement benchmark
For CPT 97166 in Georgia, Medicare reimburses about $98.44 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Georgia range from $46.75 to $1,669 — that means hospital cash prices are typically 2.0x 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 45 minutes cost in Georgia?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Georgia range from $46.75 to $1,669, with a median of $192. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Georgia?
- The cheapest Georgia hospital published cash price for this procedure is $46.75. 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 45 minutes in nearby states
Other procedures in Georgia
Methodology. Cash prices and insurance-negotiated rates published by each Georgia facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.