Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Missouri
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 87 Missouri hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $183
📉 Low $43.65
📈 High $1,090
🏥 87 hospitals
🏛️ 63 with insurance contracts
🇺🇸 Medicare $96.52
Hospital comparison — Missouri
Sorted by cash price (lowest first). Showing top 60 of 87 hospitals.
Billed more than $183 for this? That gap is evidence.
Build my dispute letter
| Hospital | Cash | UHC | BCBS | Aetna | Cigna | Humana | MultiPlan | Centene | First Health |
|---|---|---|---|---|---|---|---|---|---|
| COX MEDICAL CENTER SOUTH SPRINGFIELD |
$43.65 | $22.00 | — | $49.50 | $55.00 | $93.80 | $75.00 | — | $86.30 |
| MERCY HOSPITAL PERRY PERRYVILLE |
$73.45 | — | — | — | — | — | — | — | — |
| COX MEDICAL CENTER BRANSON BRANSON |
$76.24 | $50.00 | $100 | $85.00 | $375 | — | $87.00 | — | $70.00 |
| MERCY HOSPITAL AURORA AURORA |
$77.35 | — | — | — | — | — | — | — | — |
| MERCY ST. FRANCIS HOSPITAL MOUNTAIN VIEW |
$77.35 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL CASSVILLE CASSVILLE |
$79.30 | — | — | — | — | — | — | — | — |
| LIBERTY HOSPITAL LIBERTY |
$97.00 | $97.55 | $97.55 | $97.55 | $285 | $99.50 | — | $124 | — |
| ST. JOSEPH MEDICAL CENTER KANSAS CITY |
$97.00 | $50.69 | $97.56 | $97.56 | $97.56 | — | — | — | — |
| ST. MARY'S MEDICAL CENTER BLUE SPRINGS |
$97.00 | $50.69 | $156 | $97.56 | $97.56 | — | — | — | — |
| MERCY HOSPITAL JEFFERSON FESTUS |
$98.15 | — | — | — | — | — | — | — | — |
| COX MONETT HOSPITAL MONETT |
$102 | $22.00 | — | $80.50 | $333 | $22.00 | $75.00 | $23.00 | $86.30 |
| MERCY HOSPITAL STODDARD DEXTER |
$105 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL SOUTH ST. LOUIS |
$107 | — | — | — | — | — | — | — | — |
| SSM HEALTH ST. LOUIS UNIVERSITY HOSPITAL ST. LOUIS |
$107 | — | $93.59 | — | — | — | — | — | — |
| COX BARTON COUNTY HOSPITAL LAMAR |
$107 | $32.00 | — | $62.80 | $375 | $27.00 | $80.00 | $28.35 | $90.00 |
| MERCY HOSPITAL CARTHAGE CARTHAGE |
$109 | — | — | — | — | — | — | — | — |
| WASHINGTON COUNTY MEMORIAL HOSPITAL POTOSI |
$111 | $81.58 | — | — | $122 | $133 | — | $60.74 | — |
| MERCY HOSPITAL JOPLIN JOPLIN |
$113 | — | — | — | — | — | — | — | — |
| MERCY CHILDREN'S HOSPITAL ST. LOUIS PHONE: |
$117 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL WASHINGTON WASHINGTON |
$117 | — | — | — | — | — | — | — | — |
| LAKE REGIONAL HEALTH SYSTEM OSAGE BEACH |
$121 | $68.80 | — | $75.00 | $70.00 | — | — | — | — |
| MERCY HOSPITAL LINCOLN TROY |
$131 | — | — | — | — | — | — | — | — |
| UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER LEES SUMMIT ROAD KANSAS CITY |
$138 | $100 | $80.80 | $80.00 | $99.00 | $97.05 | $73.00 | $114 | — |
| UNIVERSITY HEALTH TRUMAN MEDICAL CENTER HOLMES KANSAS CITY |
$138 | $100 | $79.60 | $80.00 | $99.00 | $97.05 | $73.00 | $114 | $69.50 |
| NEVADA REGIONAL MEDICAL CENTER NEVADA |
$146 | $35.00 | $75.00 | $76.40 | — | $43.00 | — | — | — |
| MERCY HOSPITAL LEBANON LEBANON |
$150 | — | — | — | — | — | — | — | — |
| SSM HEALTH DEPAUL HOSPITAL - ST. LOUIS BRIDGETON |
$157 | — | $81.51 | — | — | — | — | — | — |
| SSM HEALTH ST. JOSEPH HOSPITAL-WENTZVILLE WENTZVILLE |
$157 | — | $81.51 | — | — | — | — | — | — |
| SSM HEALTH ST JOSEPH HEALTH CENTER -SAINT CHARLES ST. CHARLES |
$157 | — | $81.51 | — | — | — | — | — | — |
| SSM HEALTH ST. CLARE HOSPITAL - FENTON FENTON |
$157 | — | $81.51 | — | — | — | — | — | — |
| SSM HEALTH ST. JOSEPH HOSPITAL - LAKE SAINT LOUIS LAKE ST. LOUIS |
$157 | — | $81.51 | — | — | — | — | — | — |
| SSM HEALTH ST. MARY'S HOSPITAL ST LOUIS ST. LOUIS |
$157 | — | $81.51 | — | — | — | — | — | — |
| HARRISON COUNTY COMMUNITY HOSPITAL BETHANY |
$159 | $108 | $100 | $131 | $93.59 | $108 | $88.88 | $108 | — |
| BOTHWELL REGIONAL HEALTH CENTER SEDALIA |
$163 | $93.80 | $75.04 | $80.00 | $49.00 | $93.80 | $93.80 | $93.80 | — |
| HANNIBAL REGIONAL HOSPITAL HANNIBAL |
$165 | $95.46 | — | $93.59 | $214 | — | — | — | — |
| SAMARITAN HOSPITAL MACON |
$174 | — | — | — | — | $167 | $174 | $98.00 | — |
| HEDRICK MEDICAL CENTER CHILLICOTHE |
$176 | $258 | $249 | $249 | $220 | $275 | — | — | $272 |
| WRIGHT MEMORIAL HOSPITAL TRENTON |
$176 | $209 | $249 | $242 | $234 | $246 | — | — | $241 |
| GOLDEN VALLEY MEMORIAL HOSPITAL CLINTON |
$177 | $88.00 | $70.00 | $80.00 | $79.00 | $72.50 | $85.00 | $113 | $90.00 |
| PIKE COUNTY MEMORIAL HOSPITAL GEORGIA STREET LOUSIANA |
$178 | $222 | $222 | $222 | $222 | — | — | $222 | — |
| BOONE HOSPITAL CENTER COLUMBIA |
$181 | $98.20 | $100 | $101 | — | $99.87 | — | $103 | — |
| PARKLAND HEALTH CENTER - BONNE TERRE BONNE TERRE |
$182 | $98.21 | $98.21 | $98.21 | $185 | $98.21 | $227 | — | $225 |
| MISSOURI BAPTIST HOSPITAL SULLIVAN BOONVILLE |
$182 | $67.87 | $70.66 | $66.66 | $185 | $67.27 | $227 | — | $225 |
| KINDRED HOSPITAL ST LOUIS SOUTH ST. LOUIS |
$183 | — | — | — | — | — | — | — | — |
| ST. LOUIS CHILDREN'S HOSPITAL ST LOUIS |
$187 | $98.21 | $98.21 | $98.21 | $154 | $98.21 | $233 | — | $231 |
| SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY JEFFERSON CITY |
$187 | — | $141 | — | — | — | — | — | — |
| MERCY CHILDREN'S HOSPITAL SPRINGFIELD SPRINGFIELD |
$190 | — | — | — | — | — | — | — | — |
| MERCY ORTHOPEDIC HOSPITAL SPRINGFIELD OZARK |
$190 | — | — | — | — | — | — | — | — |
| MADISON MEDICAL CENTER FREDERICKTOWN |
$195 | — | — | — | — | — | — | — | — |
| MISSOURI BAPTIST MEDICAL CENTER ST. LOUIS |
$197 | $98.21 | $98.21 | $98.21 | $227 | $98.21 | $246 | — | $244 |
| PROGRESS WEST HOSPITAL O'FALLON |
$197 | $98.21 | $98.21 | $98.21 | $227 | $98.21 | $246 | — | $244 |
| CHRISTIAN HOSPITAL ST. LOUIS |
$197 | $98.21 | $98.21 | $98.21 | $227 | $98.21 | $246 | — | $244 |
| BARNES-JEWISH WEST COUNTY HOSPITAL ST LOUIS |
$197 | $98.21 | $98.21 | $98.21 | $227 | $98.21 | $246 | — | $244 |
| BARNES-JEWISH ST. PETERS HOSPITAL ST. PETERS |
$197 | $98.21 | $98.21 | $98.21 | $227 | $98.21 | $246 | — | $244 |
| FREEMAN HOSPITAL WEST JOPLIN |
$205 | — | — | — | — | — | — | — | — |
| FREEMAN HOSPITAL EAST JOPLIN |
$205 | — | — | — | — | — | — | — | — |
| FREEMAN NEOSHO HOSPITAL NEOSHO |
$205 | — | — | — | — | — | — | — | — |
| SSM HEALTH CARDINAL GLENNON CHILDREN'S MEDICAL CENTER ST. LOUIS |
$211 | — | $79.62 | — | — | — | — | — | — |
| MOSAIC MEDICAL CENTER - ST. JOSEPH ST. JOSEPH |
$212 | $55.76 | $70.31 | $55.76 | $220 | — | $225 | $178 | — |
| MOSAIC MEDICAL CENTER ALBANY ALBANY |
$212 | $93.59 | $78.35 | $93.59 | $185 | $190 | $212 | $140 | — |
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 $183 for this?
That is the median of what the 87 Missouri 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.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
Medicare reimbursement benchmark
For CPT 97166 in Missouri, Medicare reimburses about $96.52 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Missouri range from $43.65 to $1,090 — that means hospital cash prices are typically 1.9x 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 Missouri?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Missouri range from $43.65 to $1,090, with a median of $183. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Missouri?
- The cheapest Missouri hospital published cash price for this procedure is $43.65. 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 Missouri
Methodology. Cash prices and insurance-negotiated rates published by each Missouri facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.