Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Indiana
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 60 Indiana hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $172
📉 Low $25.06
📈 High $392
🏥 60 hospitals
🏛️ 33 with insurance contracts
🇺🇸 Medicare $96.81
Hospital comparison — Indiana
Sorted by cash price (lowest first). Showing top 60 of 60 hospitals.
Billed more than $172 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Cigna | Humana | MultiPlan | Centene | First Health | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| NORTON CLARK HOSPITAL JEFFERSONVILLE |
$25.06 | $72.85 | $98.95 | $72.94 | — | — | — | — | — |
| THE WOMEN'S HOSPITAL NEWBURGH |
$54.28 | $21.16 | $21.16 | $66.24 | — | $63.48 | $21.16 | $68.08 | — |
| FRANCISCAN HEALTHCARE RENSSELAER RENSSELAER |
$86.99 | — | — | — | — | — | — | — | — |
| DEACONESS GATEWAY HOSPITAL NEWBURGH |
$88.20 | $132 | $132 | $151 | $132 | $176 | $147 | $176 | — |
| DEACONESS GIBSON HOSPITAL PRINCETON |
$88.20 | $50.40 | $59.75 | $151 | — | — | $76.48 | $176 | $76.48 |
| DEACONESS CROSS POINTE NEWBURGH |
$88.20 | $50.40 | $132 | $151 | $132 | $176 | $147 | $176 | — |
| DEACONESS MEMORIAL MEDICAL CENTER JASPER |
$88.20 | $288 | $96.07 | — | $96.07 | — | $125 | — | — |
| MONROE HOSPITAL BLOOMINGTON |
$96.00 | $96.82 | $96.82 | — | — | $188 | — | — | $96.82 |
| FRANCISCAN HEALTH MICHIGAN CITY MICHIGAN CITY |
$97.76 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MICHIGAN CITY LA PORTE LAPORTE |
$97.76 | — | — | — | — | — | — | — | — |
| NORTON KING'S DAUGHTERS' HEALTH MADISON |
$101 | $96.07 | $96.07 | $389 | $96.07 | $421 | — | $412 | — |
| FRANCISCAN HEALTH LAFAYETTE EAST LAFAYETTE |
$104 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH CARMEL CARMEL |
$109 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL CARMEL |
$109 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS |
$109 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MOORESVILLE MOORESVILLE |
$119 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH CROWN POINT CROWN POINT |
$125 | — | — | — | — | — | — | — | — |
| NORTON SCOTT HOSPITAL SCOTTSBURG |
$126 | $96.07 | $396 | $534 | — | $502 | — | — | — |
| FRANCISCAN HEALTH DYER DYER |
$127 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH MUNSTER MUNSTER |
$156 | — | — | — | — | — | — | — | — |
| COMMUNITY HEART AND VASCULAR HOSPITAL INDIANAPOLIS |
$157 | — | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT CARMEL CARMEL |
$159 | $17.54 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT CARMEL ENDOSCOPY CENTER CARMEL |
$159 | $10.58 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT HEART CENTER CARMEL |
$159 | $17.54 | — | — | — | — | — | — | — |
| NAAB ROAD SURGERY CENTER INDIANAPOLIS |
$159 | $10.58 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT CARMEL AMBULATORY SURGERY CENTER CARMEL |
$159 | $10.58 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT FISHERS FISHERS |
$159 | $17.54 | — | — | — | — | — | — | — |
| COMMUNITY HOSPITAL OF BREMEN BREMEN |
$171 | — | — | — | — | — | — | — | — |
| MARGARET MARY HEALTH BATESVILLE |
$172 | — | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT SALEM HOSPITAL SALEM |
$172 | $17.54 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT KOKOMO KOKOMO |
$179 | $10.58 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT ANDERSON ANDERSON |
$180 | $10.58 | — | — | — | — | — | — | — |
| COMMUNITY HOSPITAL MUNSTER |
$182 | — | — | — | — | — | — | — | — |
| ST CATHERINE HOSPITAL EAST CHICAGO |
$182 | — | — | — | — | — | — | — | — |
| POWERS HEALTH REHABILITATION CENTER CROWN POINT |
$182 | — | — | — | — | — | — | — | — |
| ST MARY MEDICAL CENTER HOBART |
$182 | — | — | — | — | — | — | — | — |
| FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE |
$210 | — | — | — | — | — | — | — | — |
| METHODIST HOSPITALS SOUTHLAKE MERRILLVILLE |
$220 | — | — | — | — | — | — | — | — |
| METHODIST HOSPITALS NORTHLAKE CAMPUS GARY |
$220 | — | — | — | — | — | — | — | — |
| UNION HOSPITAL TH ST TERRE HAUTE |
$226 | $59.50 | $61.00 | $66.00 | $62.00 | $85.00 | $177 | $79.00 | $100 |
| UNION HOSPITAL REGIONAL TH ST TERRE HAUTE |
$226 | $59.50 | $61.00 | $66.00 | $62.00 | $85.00 | $177 | $79.00 | $100 |
| UNION HOSPITAL CLINTON S MAIN ST CLINTON |
$226 | $29.00 | $29.00 | $29.00 | $29.00 | $85.00 | $51.33 | $79.00 | $29.00 |
| GOOD SAMARITAN HOSPITAL VINCENNES |
$232 | $96.81 | $96.81 | $96.81 | $96.81 | — | $96.81 | — | — |
| GREENE COUNTY GENERAL HOSPITAL LINTON |
$232 | $88.81 | $88.81 | $367 | $76.86 | — | — | — | — |
| PERRY COUNTY MEMORIAL HOSPITAL TELL CITY |
$234 | — | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT MERCY ELWOOD |
$236 | $17.54 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT RANDOLPH WINCHESTER |
$236 | $10.58 | — | — | — | — | — | — | — |
| ASCENSION ST. VINCENT EVANSVILLE EVANSVILLE |
$245 | $17.54 | — | — | — | — | — | — | — |
| REID HOSPITAL RICHMOND |
$246 | $90.68 | $347 | $379 | $95.14 | — | — | — | — |
| SCHNECK MEDICAL CENTER W TIPTON ST SEYMOUR |
$258 | — | — | — | — | — | — | — | — |
| ESKENAZI HOSPITAL ESKENAZI AVE. INDIANAPOLIS |
$281 | — | — | — | — | — | — | — | — |
| ST. ELIZABETH DEARBORN HOSPITAL LAWRENCEBURG |
$283 | $97.00 | — | — | — | — | $103 | — | — |
| MEMORIAL HOSPITAL OF SOUTH BEND SOUTH BEND |
$288 | $51.68 | $96.07 | — | $96.07 | — | — | — | — |
| ELKHART GENERAL HOSPITAL ELKHART |
$288 | $51.68 | $96.07 | — | $96.07 | — | — | — | — |
| GOSHEN HOSPITAL GOSHEN |
$299 | $40.00 | $81.00 | $82.00 | $94.07 | $82.00 | $94.07 | — | $94.07 |
| UNITY PHYSICIANS HOSPITAL MISHAWAKA |
$350 | $11,325 | $11,325 | $11,325 | — | $228 | — | — | $11,325 |
| PLYMOUTH MEDICAL CENTER PLYMOUTH |
$356 | — | — | — | — | — | — | — | — |
| MISHAWAKA MEDICAL CENTER MISHAWAKA |
$356 | — | — | — | — | — | — | — | — |
| COLUMBUS REGIONAL HEALTH COLUMBUS |
$390 | — | — | — | — | — | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL OF GREATER INDIANA SOUTH CLARKSVILLE |
$392 | $51.40 | $97.93 | — | $96.81 | $235 | $51.40 | — | — |
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 $172 for this?
That is the median of what the 60 Indiana 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.
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Medicare reimbursement benchmark
For CPT 97166 in Indiana, Medicare reimburses about $96.81 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Indiana range from $25.06 to $392 — that means hospital cash prices are typically 1.8x 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 Indiana?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Indiana range from $25.06 to $392, with a median of $172. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Indiana?
- The cheapest Indiana hospital published cash price for this procedure is $25.06. 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 Indiana
Methodology. Cash prices and insurance-negotiated rates published by each Indiana facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.