Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Kentucky

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 76 Kentucky hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $225 📉 Low $67.87 📈 High $889 🏥 76 hospitals 🏛️ 68 with insurance contracts 🇺🇸 Medicare $95.10

Hospital comparison — Kentucky

Sorted by cash price (lowest first). Showing top 60 of 76 hospitals.

Billed more than $225 for this? That gap is evidence. Build my dispute letter
HospitalCashUHCHumanaCenteneAetnaCignaMolinaMultiPlanMedicare
BAPTIST HEALTH DEACONESS MADISONVILLE
HOSPITAL DRIVE MADISONVILLE
$67.87 $62.64$61.65$61.65$61.65—$61.65$146—
PIKEVILLE MEDICAL CENTER
PIKEVILLE
$77.40 ——$133—————
DEACONESS HENDERSON HOSPITAL
HENDERSON
$88.20 $105$106—$70.12$151—$176—
DEACONESS UNION COUNTY HOSPITAL
MORGANFIELD
$88.20 $50.40$149$161$164$151$161$176—
CHI SAINT JOSEPH HEALTH FLAGET MEMORIAL HOSPITAL
BARDSTOWN
$95.04 $41.13$39.52$48.79$40.32$164$43.55$204—
KINGS DAUGHTERS MEDICAL CENTER
ASHLAND
$113 $175——$208—$104$254—
UOFL HEALTH - UOFL HOSPITAL
LOUISVILLE
$113 —$90.35$110—$102———
TRIGG COUNTY HOSPITAL
CADIZ
$116 $83.96$82.28$145$89.74———$82.28
NORTON BROWNSBORO HOSPITAL
LOUISVILLE
$116 $94.40$261$94.40$94.40$215—$452—
NORTON AUDUBON HOSPITAL
LOUISVILLE
$116 $94.40$261$94.40$94.40$215—$452—
NORTON WOMEN'S AND CHILDREN'S HOSPITAL
LOUISVILLE
$116 $94.40$261$94.40$94.40$215—$452—
NORTON CHILDREN'S HOSPITAL
LOUISVILLE
$116 $94.40$139$94.40$94.40$363—$492—
NORTON WEST LOUISVILLE HOSPITAL
LOUISVILLE
$116 $94.40$261$94.40$94.40$215—$452—
NORTON HEALTHCARE PAVILION
LOUISVILLE
$116 $94.40$261$94.40$94.40$215—$452—
CHI SAINT JOSEPH HOSPITAL LONDON
LONDON
$126 $75.83$74.34$59.48$74.34—$50.56$322—
OWENSBORO HEALTH REGIONAL HOSPITAL
OWENSBORO
$148 ————————
SAINT JOSEPH BEREA
BEREA
$150 $89.11$87.36$86.09$89.99$215$91.73$284—
CENTERPOINT HEALTH - PARIS
LINVILLE DRIVE PARIS
$155 $54.00$29.19$100$34.80$92.00—$92.00$100
FLEMING COUNTY HOSPITAL
FOUNDATION DRIVE FLEMINGSBURG
$157 $19.38$20.00—$22.60——$80.00$20.00
CHI SAINT JOSEPH HEALTH WOMEN'S HOSPITAL AT SAINT JOSEPH EAST
LEXINGTON
$157 $104$101$99.63$102$250$95.57$356—
JENNIE STUART MEDICAL CENTER
HOPKINSVILLE
$158 $94.40$86.85$94.40$99.12$94.40—$160—
SAINT JOSEPH MOUNT STERLING
MT. STERLING
$159 $102$101$90.84$99.82—$102$395—
BARBOURVILLE ARH HOSPITAL
HOSPITAL DR BARBOURVILLE
$161 $78.01$45.73$46.19$45.73—$46.64——
MORGAN COUNTY ARH HOSPITAL
LIBERTY ROAD WEST LIBERTY
$161 $69.94$56.49$57.05$56.49—$57.62——
MEADOWVIEW REGIONAL MEDICAL CENTER
MAYSVILLE
$163 $43.30$103—$37.00———$100
UOFL HEALTH - MARY & ELIZABETH HOSPITAL
LOUISVILLE
$169 —$90.35$133—$102———
UOFL HEALTH - SHELBYVILLE HOSPITAL
SHELBYVILLE
$179 —$90.35$133—$102———
MARSHALL COUNTY HOSPITAL
BENTON
$184 $116$114—————$114
CHI HEALTH SAINT JOSEPH HOSPITAL
LEXINGTON
$184 $108$103$109$106$246$91.85$356—
FRAZIER REHABILITATION INSTITUTE
LOUISVILLE
$188 —$90.35$133—$102———
CRITTENDEN COMMUNITY HOSPITAL
MARION
$190 $175—$205$279$279——$95.37
CENTERPOINT HEALTH - VERSAILLES
AMSDEN AVENUE VERSAILLES
$201 $30.60$30.30$30.00$30.90——$88.00$30.00
LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES
SALEM
$202 ————————
CARROLL COUNTY MEMORIAL HOSPITAL
CARROLLTON
$209 $112$99.19$99.19————$93.20
UOFL HEALTH - MEDICAL CENTER SOUTH
SHEPHERDSVILLE
$211 —$90.35$133—$102———
UOFL HEALTH - JEWISH HOSPITAL
LOUISVILLE
$212 —$90.35$133—$102———
CENTERPOINT HEALTH - GEORGETOWN
GEORGETOWN
$220 $46.50$28.83$100$37.30——$88.00$100
OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL
GREENVILLE
$225 ————————
WAYNE COUNTY HOSPITAL
HOSPITAL STREET MONTICELLO
$226 ————————
CALDWELL MEDICAL CENTER
PRINCETON
$229 $100$86.90$151$98.69$259$110—$89.71
MIDDLESBORO ARH HOSPITAL
W CUMBERLAND AVENUE MIDDLESBORO
$230 $95.10$70.32$95.10$70.32—$70.32——
SOUTHERN KENTUCKY REHABILITATION HOSPITAL
BOWLING GREEN
$260 $260————$260——
UOFL HEALTH - PEACE HOSPITAL
LOUISVILLE
$264 —$90.35$133—$102———
TUG VALLEY ARH REGIONAL MEDICAL CENTER
HOSPITAL DRIVE SOUTH WILLIAMSON
$266 $95.10$67.78$95.10$67.78—$67.78——
ARH OUR LADY OF THE WAY
MAIN STREET MARTIN
$272 —$90.80$90.80$90.80—$92.62——
MCDOWELL ARH HOSPITAL
MCDOWELL
$272 $168$77.18$77.18$77.18—$78.72——
MARY BRECKINRIDGE ARH HOSPITAL
KATE IRELAND DR HAYDEN
$272 $86.26$68.10$68.78$68.10—$69.46——
HIGHLANDS ARH REGIONAL MEDICAL CENTER
PRESTONSBURG
$276 $95.10$95.10$95.10$66.76—$136——
HARLAN ARH HOSPITAL
BALL PARK ROAD HARLAN
$276 $95.10$73.60$95.10$73.60—$75.07——
PAINTSVILLE ARH HOSPITAL
JAMES S TRIMBLE BLVD PAINTSVILLE
$276 $65.69$65.69$95.10$65.69—$65.69——
THE MEDICAL CENTER AT CAVERNA
HORSE CAVE
$282 $67.68$67.68—$67.68$206——$76.14
THE MEDICAL CENTER AT FRANKLIN
FRANKLIN
$282 $67.68$67.68—$67.68$206——$76.14
ST. ELIZABETH FLORENCE
FLORENCE
$283 $97.00—$103—————
ST. ELIZABETH EDGEWOOD
EDGEWOOD
$283 $97.00—$103—————
ST. ELIZABETH GRANT HOSPITAL
WILLIAMSTOWN
$283 $97.00—$103—————
ST. ELIZABETH COVINGTON
COVINGTON
$283 $97.00—$103—————
ST. ELIZABETH FT. THOMAS
FT. THOMAS
$283 $97.00—$103—————
THE MEDICAL CENTER AT ALBANY
ALBANY
$285 $85.50$85.50—$85.50$209——$88.35
THE MEDICAL CENTER AT BOWLING GREEN
BOWLING GREEN
$288 $61.08$61.69—$60.48$154——$95.10
THE MEDICAL CENTER AT RUSSELLVILLE
RUSSELLVILLE
$288 $34.91$36.63—$34.56$230——$95.10
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 $225 for this?

That is the median of what the 76 Kentucky 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 Kentucky, Medicare reimburses about $95.10 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Kentucky range from $67.87 to $889 — that means hospital cash prices are typically 2.4x 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 Kentucky?
Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Kentucky range from $67.87 to $889, with a median of $225. Prices vary widely by hospital.
Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Kentucky?
The cheapest Kentucky hospital published cash price for this procedure is $67.87. 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 Kentucky

Methodology. Cash prices and insurance-negotiated rates published by each Kentucky facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.