Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Maine
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 29 Maine hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $254
📉 Low $30.00
📈 High $1,209
🏥 29 hospitals
🏛️ 28 with insurance contracts
🇺🇸 Medicare $98.24
Hospital comparison — Maine
Sorted by cash price (lowest first). Showing top 29 of 29 hospitals.
Billed more than $254 for this? That gap is evidence.
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| Hospital | Cash | Aetna | Cigna | UHC | Centene | Humana | MultiPlan | Medicare | TRICARE |
|---|---|---|---|---|---|---|---|---|---|
| NORTHERN MAINE MEDICAL CENTER FORT KENT |
$30.00 | $108 | $191 | $108 | $108 | $108 | $187 | — | $95.84 |
| EASTERN MAINE MEDICAL CENTER STATE ST BANGOR |
$69.72 | $95.92 | $222 | $97.76 | $97.76 | — | — | — | — |
| NORTHERN LIGHT A R GOULD HOSPITAL ACADEMY ST. PRESQUE ISLE |
$71.61 | $95.92 | $222 | $97.76 | $97.76 | — | — | — | — |
| NORTHERN LIGHT MAINE COAST HOSPITAL ELLSWORTH |
$75.50 | $95.84 | $222 | $95.84 | $95.84 | — | — | — | — |
| CENTRAL MAINE MEDICAL CENTER LEWISTON |
$96.00 | $96.52 | $95.00 | $96.52 | $96.52 | $96.52 | — | $96.52 | $96.52 |
| NORTHERN LIGHT MERCY HOSPITAL PORTLAND |
$132 | $95.92 | $222 | $103 | $103 | — | — | — | — |
| NORTHERN LIGHT MAYO HOSPITAL DOVER FOXCROFT |
$154 | $95.84 | $222 | $95.84 | $97.76 | — | — | — | — |
| SEBASTICOOK VALLEY HOSPITAL PITTSFIELD |
$159 | $95.84 | $222 | $97.76 | $97.76 | — | — | — | — |
| NORTHERN LIGHT ACADIA HOSPITAL BANGOR |
$159 | $95.84 | — | $97.76 | $97.76 | — | — | — | — |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL WATER ST. BLUE HILL |
$173 | $95.84 | $222 | $97.76 | $97.76 | — | — | — | — |
| RUMFORD HOSPITAL RUMFORD |
$181 | — | $95.00 | — | — | — | — | — | — |
| BRIDGTON HOSPITAL BRIDGTON |
$194 | — | $95.00 | — | — | — | — | — | — |
| HOULTON REGIONAL HOSPITAL HARTFORD STREET HOULTON |
$199 | $199 | — | — | — | — | — | — | — |
| NORTHERN LIGHT CA DEAN HOSPITAL PRITHAM AVE GREENVILLE |
$234 | $97.76 | $222 | $97.76 | $97.76 | — | — | — | — |
| MID COAST HOSPITAL BRUNSWICK |
$254 | $98.55 | $117 | $101 | $104 | $101 | $193 | — | — |
| DOWN EAST COMMUNITY HOSPITAL MACHIAS |
$268 | $298 | $322 | $307 | $157 | $157 | — | — | — |
| MILLINOCKET REGIONAL HOSPITAL MILLINOCKET |
$271 | $268 | $279 | — | $130 | $131 | — | $130 | — |
| SPRING HARBOR HOSPITAL WESTBROOK |
$308 | $101 | — | — | — | — | $176 | — | — |
| PENOBSCOT VALLEY HOSPITAL LINCOLN |
$309 | $182 | $363 | $178 | $180 | $180 | — | $94.58 | — |
| REDINGTON-FAIRVIEW GENERAL HOSPITAL FAIRVIEW AVE SKOWHEGAN |
$328 | $438 | — | $438 | — | $438 | — | — | — |
| CALAIS COMMUNITY HOSPITAL CALAIS |
$338 | $388 | $379 | $93.00 | $198 | $198 | — | — | — |
| WALDO COUNTY GENERAL HOSPITAL BELFAST |
$344 | $98.55 | $324 | $113 | $118 | $113 | $183 | — | — |
| PEN BAY MEDICAL CENTER ROCKPORT |
$362 | $98.55 | $201 | $101 | $104 | $101 | $193 | — | — |
| MAINEHEALTH LINCOLN HOSPITAL DAMARISCOTTA |
$371 | $98.55 | $337 | $110 | $115 | $113 | $183 | — | — |
| MAINE MEDICAL CENTER PORTLAND |
$419 | $101 | $352 | $101 | $104 | $101 | $193 | — | — |
| STEPHENS MEMORIAL HOSPITAL NORWAY |
$456 | $98.55 | $425 | $113 | $118 | $113 | $183 | — | — |
| MAINEHEALTH FRANKLIN HOSPITAL FARMINGTON |
$484 | $98.55 | $405 | $113 | $113 | — | $183 | — | — |
| MAINEHEALTH MAINE MEDICAL CENTER BIDDEFORD BIDDEFORD |
$676 | $101 | $568 | $101 | $104 | $101 | $193 | — | — |
| MOUNT DESERT ISLAND HOSPITAL BAR HARBOR |
$1,209 | — | — | — | — | — | — | — | — |
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 $254 for this?
That is the median of what the 29 Maine 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 Maine, Medicare reimburses about $98.24 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Maine range from $30.00 to $1,209 — that means hospital cash prices are typically 2.6x 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 Maine?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Maine range from $30.00 to $1,209, with a median of $254. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Maine?
- The cheapest Maine hospital published cash price for this procedure is $30.00. 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 Maine
Methodology. Cash prices and insurance-negotiated rates published by each Maine facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.