Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Montana
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 35 Montana hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $202
📉 Low $106
📈 High $399
🏥 35 hospitals
🏛️ 22 with insurance contracts
🇺🇸 Medicare $101
Hospital comparison — Montana
Sorted by cash price (lowest first). Showing top 35 of 35 hospitals.
Billed more than $202 for this? That gap is evidence.
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| Hospital | Cash | BCBS | UHC | Humana | Cigna | TRICARE | Aetna | Medicare | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| SIDNEY HEALTH CENTER SIDNEY |
$106 | $156 | $95.76 | — | $162 | — | $160 | — | — |
| PROVIDENCE ST JOSEPH MEDICAL CENTER POLSON |
$123 | — | — | — | — | — | — | — | — |
| LOGAN HEALTH CUT BANK CUT BANK |
$135 | $101 | — | $105 | — | — | — | — | — |
| LOGAN HEALTH MEDICAL CENTER KALISPELL |
$135 | $101 | — | $105 | — | — | — | — | — |
| PROVIDENCE ST PATRICK HOSPITAL MISSOULA |
$146 | $102 | — | $103 | — | — | — | — | — |
| LOGAN HEALTH WHITEFISH WHITEFISH |
$151 | $160 | — | — | — | — | — | — | — |
| HOLY ROSARY HEALTHCARE MILES CITY |
$160 | — | $92.75 | — | $160 | — | — | — | — |
| LOGAN HEALTH SHELBY SHELBY |
$164 | — | — | — | — | — | — | — | — |
| BIG SANDY MEDICAL CENTER BIG SANDY |
$168 | $208 | — | $212 | — | — | — | — | — |
| BOZEMAN HEALTH DEACONESS HOSPITAL BOZEMAN |
$170 | $168 | $230 | — | $225 | $96.10 | — | — | $230 |
| BOZEMAN HEALTH BIG SKY MEDICAL CENTER BIG SKY |
$184 | $168 | $230 | — | $225 | $96.10 | — | — | $230 |
| MINERAL COMMUNITY HOSPITAL SUPERIOR |
$185 | $95.00 | — | — | $95.00 | — | — | — | — |
| LOGAN HEALTH CHESTER CHESTER |
$190 | — | — | — | — | — | — | — | — |
| BILLINGS CLINIC BROADWATER TOWNSEND |
$190 | — | — | — | — | — | — | — | — |
| ST LUKE COMMUNITY HOSPITAL RONAN |
$195 | — | — | — | — | — | — | — | — |
| ST. VINCENT REGIONAL HOSPITAL BILLINGS |
$199 | — | $115 | — | — | — | — | $113 | — |
| BENEFIS TETON MEDICAL CENTER CHOTEAU |
$202 | — | — | — | — | — | — | — | — |
| BENEFIS MISSOURI RIVER MEDICAL CENTER CHOTEAU |
$202 | — | — | — | — | — | — | — | — |
| ROOSEVELT MEDICAL CENTER CULBERTSON |
$206 | $194 | $194 | — | — | — | — | — | $204 |
| LOGAN HEALTH CONRAD CONRAD |
$225 | — | — | — | — | — | — | — | — |
| ROSEBUD HEALTH CARE CENTER HOSPITAL FORSYTH |
$229 | $195 | $224 | — | $224 | — | — | $98.53 | — |
| BILLINGS CLINIC BILLINGS |
$243 | $101 | — | — | — | — | — | — | — |
| GLENDIVE MEDICAL CENTER GLENDIVE |
$243 | $39.00 | $39.00 | $39.00 | $39.00 | $132 | $39.00 | $39.00 | — |
| ST. PETER'S HEALTH REGIONAL MEDICAL CENTER E BROADWAY ST HELENA |
$253 | — | — | — | — | — | — | — | — |
| STILLWATER BILLINGS CLINIC COLUMBUS |
$261 | — | — | — | — | — | — | — | — |
| CLARK FORK VALLEY HOSPITAL PLAINS |
$263 | $263 | — | — | — | — | — | — | — |
| FALLON MEDICAL COMPLEX BAKER |
$268 | $9.38 | $9.38 | $9.38 | — | $9.38 | — | — | — |
| COMMUNITY MEDICAL CENTER FORT MISSOULA ROAD MISSOULA |
$271 | — | $429 | — | — | — | — | — | — |
| BIG HORN COUNTY MEMORIAL HOSPITAL HARDIN |
$293 | — | — | — | — | — | — | — | — |
| GREAT FALLS CLINIC HOSPITAL GREAT FALLS |
$308 | $80.00 | $75.00 | $101 | — | — | — | — | — |
| ST. JAMES HEALTHCARE BUTTE |
$315 | — | $115 | $116 | — | — | — | — | — |
| BEARTOOTH BILLINGS CLINIC RED LODGE |
$331 | — | — | — | — | — | $95.00 | — | — |
| PHILLIPS COUNTY HOSPITAL MALTA |
$339 | — | — | — | — | — | — | — | — |
| PRAIRIE COMMUNITY HOSPITAL TERRY |
$346 | $234 | $234 | $281 | — | $234 | $234 | — | — |
| DEER LODGE MEDICAL CENTER DEER LODGE |
$399 | — | — | — | — | — | — | — | — |
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 $202 for this?
That is the median of what the 35 Montana 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 Montana, Medicare reimburses about $101 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Montana range from $106 to $399 — that means hospital cash prices are typically 2.0x 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 Montana?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Montana range from $106 to $399, with a median of $202. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Montana?
- The cheapest Montana hospital published cash price for this procedure is $106. 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 Montana
Methodology. Cash prices and insurance-negotiated rates published by each Montana facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.