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Evaluation for Occupational Therapy, Typically 45 Minutes Cost in New Jersey
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 53 New Jersey hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $414
📉 Low $49.50
📈 High $1,349
🏥 53 hospitals
🏛️ 43 with insurance contracts
🇺🇸 Medicare $109
Hospital comparison — New Jersey
Sorted by cash price (lowest first). Showing top 53 of 53 hospitals.
Billed more than $414 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Cigna | Centene | MultiPlan | Humana | Medicare | BCBS |
|---|---|---|---|---|---|---|---|---|---|
| VIRTUA VOORHEES HOSPITAL (WEST JERSEY) VOORHEES |
$49.50 | $10.32 | $10.32 | $98.18 | $10.32 | $70.00 | — | — | — |
| VIRTUA MOUNT HOLLY HOSPITAL (BURLINGTON COUNTY) MOUNT HOLLY |
$49.50 | $10.32 | $10.32 | $98.18 | $10.32 | $70.00 | — | — | — |
| VIRTUA WILLINGBORO HOSPITAL WILLINGBORO |
$49.50 | $10.32 | $10.32 | $98.18 | $10.32 | $70.00 | — | — | — |
| VIRTUA OUR LADY OF LOURDES HOSPITAL CAMDEN |
$49.50 | $10.32 | $10.32 | $98.18 | $10.32 | $70.00 | — | — | — |
| VIRTUA MARLTON HOSPITAL MARLTON |
$49.50 | $10.32 | $10.32 | $98.18 | $10.32 | $70.00 | — | — | — |
| TRINITAS REGIONAL MEDICAL CENTER ELIZABETH |
$98.73 | $86.52 | $79.00 | $125 | — | — | — | — | — |
| SAINT CLARE'S BEHAVIORAL HEALTH BOONTON BOONTON TOWNSHIP |
$111 | $112 | $56.00 | $158 | $112 | — | $89.29 | $112 | — |
| ST. MARY'S GENERAL HOSPITAL PASSAIC |
$111 | $112 | $112 | $158 | $112 | — | $89.29 | $112 | — |
| SAINT MICHAELS MEDICAL CENTER NEWARK |
$111 | $112 | $112 | $158 | $115 | — | $112 | $112 | — |
| HACKENSACK MERIDIAN MOUNTAINSIDE MEDICAL CENTER MONTCLAIR |
$119 | — | — | — | — | — | — | — | — |
| HACKENSACK MERIDIAN PASCACK VALLEY MEDICAL CENTER WESTWOOD |
$119 | — | — | — | — | — | — | — | — |
| JEFFERSON WASHINGTON TOWNSHIP HOSPITAL TURNERSVILLE |
$123 | $111 | — | — | — | — | — | — | — |
| JEFFERSON STRATFORD HOSPITAL STRATFORD |
$123 | $111 | — | — | — | — | — | — | — |
| JEFFERSON CHERRY HILL HOSPITAL CHERRY HILL |
$123 | $111 | — | — | — | — | — | — | — |
| OVERLOOK MEDICAL CENTER SUMMIT |
$124 | — | — | — | — | — | — | — | — |
| CHILTON MEDICAL CENTER POMPTON PLAINS |
$124 | — | — | — | — | — | — | — | — |
| HACKETTSTOWN MEDICAL CENTER HACKETTSTOWN |
$124 | — | — | — | — | — | — | — | — |
| NEWTON MEDICAL CENTER NEWTON |
$124 | — | — | — | — | — | — | — | — |
| GORYEB CHILDRENS CENTER MORRISTOWN |
$124 | — | — | — | — | — | — | — | — |
| CENTRASTATE MEDICAL CENTER FREEHOLD TOWNSHIP |
$124 | — | — | — | — | — | — | — | — |
| SPECIALTY HOSPITAL OF CENTRAL JERSEY 4 WEST |
$324 | — | — | — | — | — | — | — | — |
| CAREWELL HEALTH MEDICAL CENTER EAST ORANGE |
$367 | $83.41 | $72.54 | — | $72.54 | — | — | — | — |
| THE COOPER UNIVERSITY HOSPITAL CAMDEN |
$370 | $56.00 | $18.69 | $80.80 | $118 | — | $109 | — | — |
| CHILDRENS SPECIALIZED HOSPITAL LONG TERM CARE CENTER - MOUNTAINSIDE MOUNTAINSIDE |
$396 | $606 | $394 | $477 | $606 | — | — | — | — |
| INSPIRA MEDICAL CENTER MANNINGTON SALEM WOODSTOWN RD. SALEM |
$414 | $56.71 | $39.37 | $169 | $83.70 | — | — | — | $132 |
| INSPIRA MEDICAL CENTER MULLICA HILL MULLICA HILL RD. MULLICA HILL |
$414 | $83.70 | $75.33 | $169 | $83.70 | — | $112 | $107 | $132 |
| INSPIRA MEDICAL CENTER VINELAND W. SHERMAN AVE. VINELAND |
$414 | $79.18 | $71.27 | $169 | $79.18 | — | $112 | $107 | $132 |
| INSPIRA MEDICAL CENTER ELMER FRONT ST. ELMER |
$414 | $56.71 | $48.85 | $169 | $83.70 | — | — | — | $132 |
| INSPIRA HEALTH CENTER WOODBURY OAK ST. WOODBURY |
$414 | $56.71 | $61.76 | $169 | $79.18 | — | — | — | — |
| INSPIRA HEALTH CENTER BRIDGETON IRVING AVE. BRIDGETON |
$414 | $56.71 | $61.76 | $169 | $79.18 | — | — | — | — |
| THE UNIVERSITY HOSPITAL NEWARK |
$434 | $127 | $127 | — | $127 | $347 | — | — | — |
| COOPER UNIVERSITY HOSPITAL CAPE REGIONAL CAPE MAY COURT HOUSE |
$435 | $107 | $11.91 | $107 | $118 | — | $109 | — | — |
| SILVER LAKE HOSPITAL NEWARK |
$450 | — | — | — | — | — | — | — | — |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY RAHWAY |
$550 | — | $170 | $98.00 | — | — | — | — | — |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL SOMERSET SOMERVILLE |
$550 | $269 | $164 | $98.00 | — | — | — | — | — |
| CLARA MAASS MEDICAL CENTER BELLEVILLE |
$550 | $183 | $170 | $98.00 | — | — | — | — | — |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL HAMILTON HAMILTON |
$550 | $178 | $170 | $98.00 | — | — | — | — | — |
| HSS PARAMUS OUTPATIENT CENTER PARAMUS |
$551 | $199 | $112 | $230 | $83.94 | — | — | — | — |
| HSS PARAMUS MIDLAND OUTPATIENT CENTER PARAMUS |
$551 | $199 | $112 | $230 | $83.94 | — | — | $551 | $150 |
| DEBORAH HEART AND LUNG CENTER BROWNS MILLS |
$630 | $65.00 | $112 | $644 | — | — | $112 | — | — |
| CHILDRENS HOSPITAL OF NEW JERSEY - NEWARK NEWARK |
$653 | $183 | $53.28 | $98.00 | — | — | — | — | — |
| COOPERMAN BARNABAS MEDICAL CENTER LIVINGSTON |
$653 | $183 | $170 | $125 | — | — | — | — | — |
| BRISTOL MYERS SQUIBB CHILDRENS HOSPITAL NEW BRUNSWICK |
$653 | $187 | $170 | $125 | — | — | — | — | — |
| JERSEY CITY MEDICAL CENTER JERSEY CITY |
$655 | $178 | $170 | $98.00 | — | — | — | — | — |
| MONMOUTH MEDICAL CENTER SOUTHERN CAMPUS LAKEWOOD |
$655 | $183 | $170 | $98.00 | — | — | — | — | — |
| MONMOUTH MEDICAL CENTER LONG BRANCH |
$655 | $183 | $170 | $98.00 | — | — | — | — | — |
| COMMUNITY MEDICAL CENTER TOMS RIVER |
$655 | $178 | $170 | $98.00 | — | — | — | — | — |
| SAINT JOSEPHS UNIVERSITY MEDICAL CENTER PATERSON |
$780 | $77.99 | $83.70 | $780 | $83.70 | $167 | — | — | — |
| SAINT PETERS UNIVERSITY HOSPITAL EASTON AVE NEW BRUNSWICK |
$1,050 | $210 | $408 | $160 | — | — | — | $1,050 | — |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER TRENTON |
$1,093 | $59.02 | $43.72 | $177 | $108 | $929 | $109 | $111 | — |
| CAPITAL HEALTH AT DEBORAH - EMERGENCY SERVICES PENNINGTON |
$1,093 | $59.02 | $43.72 | $177 | $173 | $929 | $109 | $111 | — |
| MEMORIAL SLOAN KETTERING BASKING RIDGE BASKING RIDGE |
$1,349 | $500 | $581 | — | — | $1,214 | — | — | — |
| MEMORIAL SLOAN KETTERING MONMOUTH MIDDLETOWN |
$1,349 | $500 | $581 | — | — | $1,214 | — | — | — |
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 $414 for this?
That is the median of what the 53 New Jersey 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 New Jersey, Medicare reimburses about $109 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in New Jersey range from $49.50 to $1,349 — that means hospital cash prices are typically 3.8x 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 New Jersey?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in New Jersey range from $49.50 to $1,349, with a median of $414. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in New Jersey?
- The cheapest New Jersey hospital published cash price for this procedure is $49.50. 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 New Jersey
Methodology. Cash prices and insurance-negotiated rates published by each New Jersey facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.