Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Michigan
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 68 Michigan hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $247
📉 Low $65.33
📈 High $1,378
🏥 68 hospitals
🏛️ 35 with insurance contracts
🇺🇸 Medicare $97.70
Hospital comparison — Michigan
Sorted by cash price (lowest first). Showing top 60 of 68 hospitals.
Billed more than $247 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | Humana | UHC | Medicare | Molina | Cigna | MultiPlan |
|---|---|---|---|---|---|---|---|---|---|
| HENRY FORD ROCHESTER HOSPITAL W. UNIVERSITY DR ROCHESTER |
$65.33 | $78.27 | $96.42 | $96.42 | — | $96.42 | — | — | — |
| UM HEALTH-SPARROW IONIA HOSPITAL IONIA |
$71.75 | — | — | — | — | — | — | — | — |
| SPARROW EATON HOSPITAL CHARLOTTE |
$71.75 | — | — | — | — | — | — | — | — |
| SPARROW CLINTON HOSPITAL ST. JOHNS |
$71.75 | — | — | — | — | — | — | — | — |
| UM HEALTH-SPARROW CARSON CARSON CITY |
$73.00 | — | — | — | — | — | — | — | — |
| UM HEALTH-WEST HOSPITAL WYOMING |
$84.60 | — | — | — | — | — | — | — | — |
| UM HEALTH-SPARROW LANSING LANSING |
$92.75 | — | — | — | — | — | — | — | — |
| UM HEALTH-SPARROW - ST LAWRENCE LANSING |
$92.75 | — | — | — | — | — | — | — | — |
| LAKE HURON MEDICAL CENTER PORT HURON |
$96.00 | $51.40 | $96.35 | — | — | $96.35 | — | — | — |
| GARDEN CITY HOSPITAL GARDEN CITY |
$99.00 | $51.81 | $99.07 | $99.07 | $99.07 | $99.07 | — | — | — |
| BRONSON SOUTH HAVEN HOSPITAL SOUTH HAVEN |
$119 | $71.15 | $59.60 | — | $80.52 | — | — | — | — |
| BRONSON BATTLE CREEK HOSPITAL BATTLE CREEK |
$119 | $100 | $59.60 | — | $96.42 | — | — | — | — |
| SURGEONS CHOICE MEDICAL CENTER SOUTHFIELD |
$120 | — | — | — | — | — | — | — | — |
| BRONSON LAKEVIEW HOSPITAL PAW PAW |
$122 | $71.15 | — | — | — | — | — | — | — |
| BRONSON METHODIST HOSPITAL KALAMAZOO |
$122 | $100 | $96.34 | — | $70.38 | $96.34 | $106 | — | — |
| HENRY FORD PROVIDENCE NOVI HOSPITAL GRAND RIVER AVE NOVI |
$128 | $74.71 | $120 | $97.38 | $55.92 | — | $55.92 | — | — |
| HENRY FORD PROVIDENCE SOUTHFIELD HOSPITAL W NINE MILE RD SOUTHFIELD |
$128 | $74.71 | $120 | $97.38 | $55.92 | — | $55.92 | — | — |
| HENRY FORD WARREN HOSPITAL TWELVE MILE RD WARREN |
$136 | $96.42 | $112 | $97.38 | — | $91.60 | $101 | — | — |
| SCHEURER HOSPITAL PIGEON |
$149 | — | — | — | — | — | — | — | — |
| BEACON ALLEGAN LINN ST ALLEGAN |
$153 | $39.63 | — | $99.35 | $39.63 | $98.66 | — | — | — |
| HENRY FORD RIVER DISTRICT HOSPITAL RIVER RD EAST CHINA TOWNSHIP |
$159 | $96.42 | — | $97.38 | — | $91.60 | $101 | — | — |
| HENRY FORD ST. JOHN CHILDREN'S HOSPITAL MOROSS RD DETROIT |
$166 | $96.42 | — | $97.38 | — | $91.60 | $101 | — | — |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM SPC 5474 |
$168 | — | — | — | — | — | — | — | — |
| HEALTHSOURCE SAGINAW HOSPITAL ROAD SAGINAW |
$177 | — | — | $98.26 | — | — | $98.26 | — | — |
| HARBOR BEACH COMMUNITY HOSPITAL HARBOR BEACH |
$198 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH MUSKEGON HOSPITAL MUSKEGON |
$212 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH GRAND RAPIDS HOSPITAL GRAND RAPIDS |
$212 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH SHELBY HOSPITAL SHELBY |
$212 | — | — | — | — | — | — | — | — |
| SCHOOLCRAFT MEMORIAL HOSPITAL MANISTIQUE |
$212 | $201 | $201 | — | $206 | — | — | $208 | — |
| SHERIDAN COMMUNITY HOSPITAL SHERIDAN |
$222 | — | $125 | $125 | — | $92.63 | — | — | — |
| UP HEALTH SYSTEM - BELL ISHPEMING |
$228 | $35.35 | $35.00 | $35.00 | $35.00 | $35.00 | — | $35.00 | $92.50 |
| MUNSON HEALTHCARE CADILLAC CADILLAC |
$239 | $83.64 | $50.38 | $96.34 | $50.38 | $96.34 | $50.38 | $102 | — |
| MUNSON HEALTHCARE MANISTEE HOSPITAL MANISTEE |
$246 | $83.64 | $50.38 | $96.34 | $50.38 | $96.34 | $50.38 | $102 | $255 |
| KALKASKA MEMORIAL HEALTH CENTER KALKASKA |
$247 | $96.34 | $67.92 | $96.34 | $67.92 | $96.34 | $67.92 | $102 | $262 |
| MUNSON HEALTHCARE CHARLEVOIX HOSPITAL CHARLEVOIX |
$249 | $96.34 | $67.92 | — | $67.92 | $96.34 | $96.34 | $102 | — |
| ASPIRUS IRON RIVER HOSPITAL IRON RIVER |
$250 | — | — | — | — | — | — | — | — |
| ASPIRUS KEWEENAW HOSPITAL LAURIUM |
$250 | — | $64.75 | — | — | — | — | — | — |
| ASPIRUS IRONWOOD HOSPITAL IRONWOOD |
$250 | — | — | — | — | — | — | — | — |
| MUNSON MEDICAL CENTER TRAVERSE CITY |
$251 | $83.64 | $50.38 | $96.34 | $50.38 | $96.34 | $50.38 | $102 | $266 |
| PAUL OLIVER MEMORIAL HOSPITAL FRANKFORT |
$252 | $92.07 | $67.92 | $96.34 | $67.92 | $92.07 | $67.92 | $102 | $267 |
| UP HEALTH SYSTEM - MARQUETTE MARQUETTE |
$254 | $56.00 | $31.25 | $100 | $88.00 | $100 | — | — | — |
| MUNSON HEALTHCARE GRAYLING GRAYLING |
$256 | $83.64 | $50.38 | $96.34 | $50.38 | $96.34 | $50.38 | $102 | — |
| UP HEALTH SYSTEM PORTAGE HANCOCK |
$258 | $60.60 | $37.82 | $100 | $95.00 | $100 | $100 | $90.00 | $95.00 |
| TRINITY HEALTH OAKLAND HOSPITAL PONTIAC |
$259 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH LIVINGSTON HOSPITAL HOWELL |
$259 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH ANN ARBOR HOSPITAL YPSILANTI |
$259 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH LIVONIA HOSPITAL LIVONIA |
$259 | — | — | — | — | — | — | — | — |
| CHELSEA HOSPITAL CHELSEA |
$259 | — | — | — | — | — | — | — | — |
| MCKENZIE MEMORIAL HOSPITAL SANDUSKY |
$268 | $102 | $99.28 | $102 | $90.82 | $102 | — | — | — |
| COVENANT HEALTHCARE MICHIGAN SAGINAW |
$273 | $96.34 | $50.38 | $96.34 | — | — | $50.38 | $195 | $319 |
| COVENANT MEDICAL CENTER COOPER COOPER SAGINAW |
$273 | $96.34 | $50.38 | $96.34 | — | — | $50.38 | $195 | $319 |
| OTSEGO MEMORIAL HOSPITAL GAYLORD |
$274 | $97.30 | $50.38 | $96.34 | $50.38 | $96.34 | $50.38 | $102 | — |
| THREE RIVERS HEALTH HOSPITAL THREE RIVERS |
$295 | $51.68 | $96.42 | $96.42 | $51.68 | — | $51.68 | — | — |
| DECKERVILLE COMMUNITY HOSPITAL PINE STREET DECKERVILLE |
$299 | — | — | — | — | — | — | — | — |
| INSIGHT HOSPITAL & MEDICAL CENTER COLDWATER COLDWATER |
$304 | $266 | $266 | $266 | $266 | $266 | — | — | $266 |
| OSF ST FRANCIS HOSPITAL & MEDICAL GROUP ESCANABA |
$330 | — | — | — | — | — | — | — | — |
| VIBRA HOSPITAL OF SOUTHEASTERN MICHIGAN-DMC CAMPUS DETROIT |
$363 | $363 | — | — | — | — | $363 | — | — |
| BARAGA COUNTY MEMORIAL HOSPITAL LANSE |
$422 | — | — | — | — | — | — | — | — |
| DMC SINAI-GRACE HOSPITAL DETROIT |
$490 | — | — | — | — | — | — | — | — |
| REHABILITATION INSTITUTE OF MICHIGAN DETROIT |
$517 | — | — | — | — | — | — | — | — |
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 $247 for this?
That is the median of what the 68 Michigan 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 Michigan, Medicare reimburses about $97.70 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Michigan range from $65.33 to $1,378 — that means hospital cash prices are typically 2.5x 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 Michigan?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Michigan range from $65.33 to $1,378, with a median of $247. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Michigan?
- The cheapest Michigan hospital published cash price for this procedure is $65.33. 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 Michigan
Methodology. Cash prices and insurance-negotiated rates published by each Michigan facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.