Evaluation for Occupational Therapy, Typically 45 Minutes Cost in New York
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 105 New York hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $265
📉 Low $73.48
📈 High $11,477
🏥 105 hospitals
🏛️ 73 with insurance contracts
🇺🇸 Medicare $109
Hospital comparison — New York
Sorted by cash price (lowest first). Showing top 60 of 105 hospitals.
Billed more than $265 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Centene | Cigna | BCBS | Molina | MultiPlan | Humana |
|---|---|---|---|---|---|---|---|---|---|
| AURELIA OSBORN FOX MEMORIAL HOSPITAL ONE NORTON AVE ONEONTA |
$73.48 | — | — | — | — | — | — | — | — |
| BASSETT MEDICAL CENTER COOPERSTOWN |
$73.48 | — | — | — | — | — | — | — | — |
| COBLESKILL REGIONAL HOSPITAL GRANDVIEW DRIVE COBLESKILL |
$85.05 | — | — | — | — | — | — | — | — |
| LITTLE FALLS HOSPITAL LITTLE FALLS |
$85.05 | — | — | — | — | — | — | — | — |
| O'CONNOR HOSPITAL DELHI |
$85.05 | — | — | — | — | — | — | — | — |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER NIAGARA FALLS |
$89.80 | $30.00 | $98.00 | $93.10 | — | $69.00 | — | — | $101 |
| GUTHRIE LOURDES HOSPITAL BINGHAMTON |
$93.87 | — | — | — | — | — | — | — | — |
| MEDINA MEMORIAL HOSPITAL MEDINA |
$102 | — | $158 | — | — | — | $158 | — | — |
| AUBURN COMMUNITY HOSPITAL AUBURN |
$108 | $98.00 | $70.51 | $67.15 | $186 | — | — | — | $98.00 |
| COMMUNITY MEMORIAL HOSPITAL HAMILTON |
$113 | — | — | — | — | $35.28 | — | — | — |
| COMMUNITY MEMORIAL HOSPITAL HAMILTON |
$113 | — | — | — | — | $35.28 | — | — | — |
| ROME MEMORIAL HOSPITAL ROME |
$113 | $81.00 | $1.00 | — | $98.36 | — | — | — | $98.36 |
| STONEY BROOK SOUTHAMPTON HOSPITAL SOUTHAMPTON |
$114 | $57.75 | $68.00 | $113 | $68.20 | — | — | $75.00 | — |
| SAINT BARNABAS HOSPITAL HEALTH SYSTEM BRONX |
$114 | — | — | $103 | — | — | — | — | — |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL PENN YAN |
$120 | $133 | $117 | $117 | — | $139 | — | — | — |
| GENEVA GENERAL HOSPITAL GENEVA |
$120 | $97.73 | $97.73 | $97.73 | — | $98.36 | — | — | — |
| CANTON-POTSDAM HOSPITAL POTSDAM |
$124 | — | — | — | — | — | — | — | — |
| GOUVERNEUR HOSPITAL WEST BARNEY STREET GOUVERNEUR |
$130 | — | — | — | — | — | — | — | — |
| WYOMING COUNTY COMMUNITY HOSPITAL WARSAW |
$135 | — | — | — | — | $86.22 | — | — | — |
| INTERFAITH MEDICAL CENTER ATLANTIC AVENUE BROOKLYN |
$141 | — | — | — | — | — | — | — | — |
| BROOKDALE HOSPITAL MEDICAL CENTER BROOKDALE PLAZA BROOKLYN |
$141 | — | — | — | — | — | — | — | — |
| KINGSBROOK JEWISH MEDICAL CENTER SCHENECTADY AVENUE BROOKLYN |
$141 | — | — | — | — | — | — | — | — |
| CROUSE HOSPITAL SYRACUSE |
$146 | $93.10 | $69.80 | $93.10 | — | — | $117 | — | $90.00 |
| CLIFTON-FINE HOSPITAL STAR LAKE |
$149 | — | — | — | — | $126 | — | — | — |
| CLIFTON-FINE HOSPITAL STAR LAKE |
$149 | — | — | — | — | $126 | — | — | — |
| UNITED MEMORIAL MEDICAL CENTER NORTH STREET BATAVIA |
$152 | — | — | — | — | — | — | — | — |
| NATHAN LITTAUER HOSPITAL E STATE ST GLOVERSVILLE |
$153 | — | — | — | — | — | — | — | — |
| WYNN HOSPITAL UTICA |
$162 | — | — | — | — | — | — | — | — |
| ST ANTHONY COMMUNITY HOSPITAL WARWICK |
$163 | $100 | $100 | $100 | $70.00 | $73.77 | — | $75.00 | — |
| GOOD SAMARITAN HOSPITAL SUFFERN |
$172 | $100 | $100 | $100 | $70.00 | $73.77 | — | $75.00 | — |
| CHENANGO MEMORIAL HOSPITAL NORWICH |
$174 | $99.96 | $70.46 | $98.00 | — | — | — | — | $101 |
| KENMORE MERCY HOSPITAL KENMORE |
$184 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL OF BUFFALO BUFFALO |
$184 | — | — | — | — | — | — | — | — |
| MOUNT ST. MARY'S HOSPITAL LEWISTON |
$184 | — | — | — | — | — | — | — | — |
| SISTERS OF CHARITY HOSPITAL BUFFALO |
$184 | — | — | — | — | — | — | — | — |
| MASSENA HOSPITAL HOSPITAL DRIVE MASSENA |
$189 | — | — | — | — | — | — | — | — |
| ADIRONDACK MEDICAL CENTER SARANAC LAKE |
$192 | $96.04 | — | $97.96 | $247 | $97.88 | — | — | — |
| CLAXTON-HEPBURN MEDICAL CENTER OGDENSBURG |
$202 | — | $65.00 | $92.41 | $97.28 | $75.56 | — | $131 | $50.37 |
| BRONXCARE HOSPITAL CENTER - FULTON CAMPUS FULTON AVE BRONX |
$212 | $127 | $115 | $104 | $127 | — | $115 | — | $191 |
| ELLIS HOSPITAL - BELLEVUE WOMAN'S CARE CENTER NOTT STREET SCHENECTADY |
$216 | — | — | — | — | $131 | — | — | — |
| ROSWELL PARK COMPREHENSIVE CANCER CENTER BUFFALO |
$217 | — | — | — | — | $117 | $93.10 | — | — |
| SAMARITAN MEDICAL CENTER WASHINGTON ST. WATERTOWN |
$224 | $99.96 | $101 | $98.00 | — | — | — | — | — |
| HIGHLAND HOSPITAL ROCHESTER |
$236 | — | — | — | — | — | — | — | — |
| ROCHESTER GENERAL HOSPITAL PORTLAND AVE ROCHESTER |
$239 | — | — | — | — | — | — | — | — |
| NEWARK-WAYNE COMMUNITY HOSPITAL DRIVING PARK AVENUE NEWARK |
$239 | — | — | — | — | — | — | — | — |
| CLIFTON SPRINGS HOSPITAL COULTER ROAD CLIFTON SPRINGS |
$239 | — | — | — | — | — | — | — | — |
| OLEAN GENERAL HOSPITAL OLEAN |
$254 | $98.00 | — | $88.20 | — | $34.34 | — | — | — |
| CUBA MEMORIAL HOSPITAL CUBA |
$254 | — | — | — | — | $85.37 | — | — | — |
| BROOKS-TLC HOSPITAL SYSTEM DUNKIRK |
$254 | — | — | $101 | — | $71.28 | — | — | $98.00 |
| NYU LANGONE HOSPITAL LONG ISLAND MINEOLA |
$257 | $100 | $162 | $103 | $393 | $447 | — | $78.00 | — |
| NYU LANGONE TISCH HOSPITAL NEW YORK |
$257 | $100 | $206 | $103 | $393 | $447 | — | $78.00 | — |
| NYU LANGONE HOSPITAL - SUFFOLK PATCHOGUE |
$257 | $100 | $50.00 | $103 | $393 | $394 | — | $78.00 | — |
| NASSAU UNIVERSITY MEDICAL CENTER EAST MEADOW |
$265 | $52.31 | $90.00 | $97.73 | $95.75 | $97.73 | $97.67 | — | $91.08 |
| FLUSHING HOSPITAL MEDICAL CENTER FLUSHING |
$265 | $107 | $20.00 | $122 | $200 | — | — | — | $116 |
| JAMAICA HOSPITAL MEDICAL CENTER JAMAICA |
$275 | $67.00 | $113 | $107 | $264 | — | — | $85.00 | $120 |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER CORTLAND |
$277 | — | — | — | — | — | — | — | — |
| BURKE REHABILITATION HOSPITAL WHITE PLAINS |
$292 | — | $115 | — | $227 | — | — | — | — |
| THE UNITY HOSPITAL OF ROCHESTER LONG POND ROAD ROCHESTER |
$295 | — | — | — | — | — | — | — | — |
| ST. PETER'S HOSPITAL ALBANY |
$317 | — | — | — | — | — | — | — | — |
| SAMARITAN HOSPITAL - ALBANY MEMORIAL CAMPUS ALBANY |
$317 | — | — | — | — | — | — | — | — |
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 $265 for this?
That is the median of what the 105 New York 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 York, 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 York range from $73.48 to $11,477 — that means hospital cash prices are typically 2.4x 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 York?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in New York range from $73.48 to $11,477, with a median of $265. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in New York?
- The cheapest New York hospital published cash price for this procedure is $73.48. 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 York
Methodology. Cash prices and insurance-negotiated rates published by each New York facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.