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.
Hospital comparison — Kentucky
Sorted by cash price (lowest first). Showing top 60 of 76 hospitals.
| Hospital | Cash | UHC | Humana | Centene | Aetna | Cigna | Molina | MultiPlan | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
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.