Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Maryland
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 15 Maryland hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Maryland
Sorted by cash price (lowest first). Showing top 15 of 15 hospitals.
| Hospital | Cash | Aetna | UHC | Cigna | Humana | MultiPlan | Kaiser | First Health | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| LUMINIS HEALTH J KENT MCNEW FAMILY MEDICAL CENTER HARRY S TRUMAN PARKWAY ANNAPOLIS |
$48.78 | — | — | — | — | — | — | — | — |
| TIDALHEALTH MCCREADY PAVILION E CARROLLL ST SALISBURY |
$94.08 | — | — | — | — | — | — | — | — |
| LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CENTER GOOD LUCK ROAD LANHAM |
$104 | — | — | — | — | — | — | — | — |
| HOLY CROSS GERMANTOWN HOSPITAL GERMANTOWN |
$107 | — | — | — | — | — | — | — | — |
| ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CENTER FORT WASHINGTON |
$120 | — | — | — | — | — | — | — | — |
| LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER MEDICAL PARKWAY ANNAPOLIS |
$123 | — | — | — | — | — | — | — | — |
| HOLY CROSS HOSPITAL SILVER SPRING |
$147 | — | — | — | — | — | — | — | — |
| GREATER BALTIMORE MEDICAL CENTER TOWSON |
$151 | $67.01 | $67.01 | $105 | $106 | $122 | $150 | $138 | $67.01 |
| FREDERICK MEMORIAL HOSPITAL FREDERICK |
$152 | — | — | — | — | — | — | — | — |
| MOUNT WASHINGTON PEDIATRIC HOSPITAL BALTIMORE |
$153 | — | — | — | — | — | — | — | — |
| ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER ROCKVILLE |
$160 | — | — | — | — | — | — | — | — |
| GARRETT REGIONAL MEDICAL CENTER OAKLAND |
$165 | — | — | — | — | — | — | — | — |
| TIDALHEALTH ATLANTIC BERLIN |
$437 | — | — | — | — | — | — | — | — |
| ADVENTIST REHABILITATION HOSPITAL ROCKVILLE |
$637 | $113 | $113 | $113 | $102 | $478 | $152 | — | — |
| KENNEDY KREIGER INSTITUTE BALTIMORE |
$817 | — | — | — | — | — | — | — | — |
That is the median of what the 15 Maryland 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 Maryland, Medicare reimburses about $103 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Maryland range from $48.78 to $817 — that means hospital cash prices are typically 1.5x 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 Maryland?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Maryland range from $48.78 to $817, with a median of $151. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Maryland?
- The cheapest Maryland hospital published cash price for this procedure is $48.78. 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.