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Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Massachusetts
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 49 Massachusetts hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $375
📉 Low $110
📈 High $828
🏥 49 hospitals
🏛️ 24 with insurance contracts
🇺🇸 Medicare $108
Hospital comparison — Massachusetts
Sorted by cash price (lowest first). Showing top 49 of 49 hospitals.
Billed more than $375 for this? That gap is evidence.
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| Hospital | Cash | BCBS | Aetna | UHC | Cigna | MultiPlan | Centene | Humana | First Health |
|---|---|---|---|---|---|---|---|---|---|
| STURDY MEMORIAL HOSPITAL ATTLEBORO |
$110 | $70.67 | $85.00 | $69.03 | $90.00 | — | $112 | — | — |
| HEBREW REHABILITATION CENTER AT NEWBRIDGE DEDHAM |
$124 | — | — | — | — | — | — | — | — |
| TOBEY HOSPITAL WAREHAM |
$136 | — | — | — | — | — | — | — | — |
| ST. LUKE'S HOSPITAL NEW BEDFORD |
$136 | — | — | — | — | — | — | — | — |
| CHARLTON MEMORIAL HOSPITAL FALL RIVER |
$136 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER - BRIGHTON BRIGHTON |
$145 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER - SOUTH BROCKTON |
$158 | — | — | — | — | — | — | — | — |
| CHA CAMBRIDGE HOSPITAL CAMBRIDGE |
$185 | — | — | — | — | — | — | — | — |
| MELROSE WAKEFIELD HOSPITAL MELROSE |
$192 | — | — | — | — | — | — | — | — |
| BOSTON MEDICAL CENTER BOSTON |
$243 | — | — | — | — | — | — | — | — |
| COOLEY DICKINSON HOSPITAL NORTHAMPTON |
$248 | — | — | — | — | — | — | — | — |
| SOUTH SHORE HOSPITAL SOUTH WEYMOUTH |
$254 | $156 | $104 | $98.75 | — | — | — | — | — |
| VIBRA HOSPITAL OF WESTERN MASS CENTRAL CAMPUS ROCHDALE |
$260 | — | — | — | — | — | — | — | — |
| HEYWOOD HOSPITAL GARDNER |
$269 | $245 | $185 | $368 | $216 | — | — | — | — |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL BROCKTON |
$270 | $244 | $75.12 | $237 | $134 | — | — | $104 | — |
| LOWELL GENERAL - SAINTS CAMPUS LOWELL |
$271 | — | — | — | — | — | — | — | — |
| MERCY MEDICAL CENTER - SPRINGFIELD SPRINGFIELD |
$314 | — | — | — | — | — | — | — | — |
| VIBRA HOSPITAL OF SOUTHEASTERN MASSACHUSETTS NEW BEDFORD |
$317 | — | $317 | — | — | — | — | — | $317 |
| TUFTS MEDICAL CENTER BOSTON |
$322 | — | — | — | — | — | — | — | — |
| NEWTON WELLESLEY HOSPITAL NEWTON |
$328 | — | — | — | — | — | — | — | — |
| BRIGHAM AND WOMEN'S FAULKNER HOSPITAL BOSTON |
$328 | — | — | — | — | — | — | — | — |
| FRANCISCAN HOSPITAL FOR CHILDREN BRIGHTON |
$332 | $71.00 | $238 | $293 | $150 | — | — | — | — |
| FALMOUTH HOSPITAL FALMOUTH |
$355 | $83.00 | $95.00 | $80.12 | $90.93 | $95.00 | — | — | — |
| CAPE COD HOSPITAL HYANNIS |
$355 | $80.71 | $95.00 | $79.32 | $81.75 | $95.00 | — | — | — |
| BAYSTATE FRANKLIN MEDICAL CENTER GREENFIELD |
$375 | — | — | — | — | — | — | — | — |
| MILFORD REGIONAL MEDICAL CENTER MILFORD |
$378 | $102 | $80.40 | $263 | $94.74 | — | — | — | — |
| DANA-FARBER CANCER INSTITUTE BOSTON |
$391 | — | — | — | — | — | — | — | — |
| PAM HEALTH SPECIALTY HOSPITAL OF STOUGHTON SUMNER STREET STOUGHTON |
$404 | — | — | — | — | — | — | — | — |
| FRAMINGHAM UNION HOSPITAL FRAMINGHAM |
$415 | $186 | — | — | — | — | — | — | — |
| ST VINCENT HOSPITAL WORCESTER |
$415 | $231 | — | — | — | — | — | — | — |
| LEONARD MORSE HOSPITAL NATICK |
$415 | $186 | — | — | — | — | — | — | — |
| UMASS MEMORIAL HOSPITAL - HARRINGTON HOSPITAL SOUTH ST SOUTHBRIDGE |
$426 | — | — | — | — | — | — | — | — |
| ATHOL HOSPITAL ATHOL |
$435 | $208 | $185 | $368 | $97.03 | — | — | — | — |
| SHRINERS CHILDREN'S BOSTON BOSTON |
$462 | $33.15 | $75.00 | $167 | $130 | $85.00 | $22.00 | — | — |
| MASSACHUSETTS GENERAL HOSPITAL BOSTON |
$480 | — | — | — | — | — | — | — | — |
| BRIGHAM AND WOMEN'S HOSPITAL BOSTON |
$480 | — | — | — | — | — | — | — | — |
| SPAULDING REHABILITATION HOSPITAL BOSTON BOSTON |
$514 | — | — | — | — | — | — | — | — |
| SPAULDING REHABILITATION HOSPITAL CAPE COD SANDWICH |
$514 | — | — | — | — | — | — | — | — |
| UMASS MEMORIAL MEDICAL CENTER - MARLBOROUGH CAMPUS BELMONT STREET WORCESTER |
$566 | — | — | — | — | — | — | — | — |
| UMASS MEMORIAL HEALTH ALLIANCE - CLINTON HOSPITAL HOSPITAL RD. LEOMINSTER |
$756 | — | — | — | — | — | — | — | — |
| BOSTON CHILDREN'S NEEDHAM NEEDHAM |
$828 | $329 | $497 | $495 | $704 | $762 | $523 | $745 | $762 |
| BOSTON CHILDREN'S HOSPITAL BOSTON |
$828 | $467 | $497 | $495 | $704 | $762 | $523 | $745 | $762 |
| BOSTON CHILDREN'S LEXINGTON LEXINGTON |
$828 | $329 | $497 | $495 | $704 | $762 | $523 | $745 | $762 |
| BOSTON CHILDREN'S HOSPITAL BROOKLINE BROOKLINE |
$828 | $329 | $497 | $495 | $704 | $762 | $523 | $745 | $762 |
| BOSTON CHILDREN'S HOSPITAL WALTHAM WALTHAM |
$828 | $329 | $497 | $495 | $704 | $762 | $523 | $745 | $762 |
| BOSTON CHILDREN'S HOSPITAL PEABODY PEABODY |
$828 | $329 | $497 | $495 | $704 | $762 | $523 | $745 | $762 |
| BOSTON CHILDREN'S HOSPITAL NORTH DARTMOUTH BUILDING 200 |
$828 | $329 | $497 | $495 | $704 | $762 | $523 | $745 | $762 |
| BOSTON CHILDREN'S HOSPITAL WEYMOUTH WEYMOUTH |
$828 | $329 | $497 | $495 | $704 | $762 | $523 | $745 | $762 |
| BOSTON CHILDREN'S HOSPITAL MARTHA ELIOT HEALTH CENTER BOSTON |
$828 | $329 | $497 | $495 | $704 | $762 | $523 | $745 | $762 |
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 $375 for this?
That is the median of what the 49 Massachusetts 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 Massachusetts, Medicare reimburses about $108 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Massachusetts range from $110 to $828 — that means hospital cash prices are typically 3.5x 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 Massachusetts?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Massachusetts range from $110 to $828, with a median of $375. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Massachusetts?
- The cheapest Massachusetts hospital published cash price for this procedure is $110. 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 Massachusetts
Methodology. Cash prices and insurance-negotiated rates published by each Massachusetts facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.