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Evaluation for Occupational Therapy, Typically 45 Minutes Cost in North Carolina
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 97 North Carolina hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $215
📉 Low $61.37
📈 High $710
🏥 97 hospitals
🏛️ 61 with insurance contracts
🇺🇸 Medicare $97.15
Hospital comparison — North Carolina
Sorted by cash price (lowest first). Showing top 60 of 97 hospitals.
Billed more than $215 for this? That gap is evidence.
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| Hospital | Cash | Aetna | BCBS | Centene | Cigna | UHC | Humana | MultiPlan | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| RUTHERFORD REGIONAL HEALTH SYSTEM RUTHERFORDTON |
$61.37 | $47.10 | $16.45 | $30.20 | $37.40 | $56.00 | $73.00 | $90.00 | $100 |
| HUGH CHATHAM MEMORIAL HOSPITAL ELKIN |
$90.35 | — | — | — | — | — | — | — | — |
| DUKE UNIVERSITY HOSPITAL DURHAM |
$101 | — | — | — | — | — | — | — | — |
| DUKE RALEIGH HOSPITAL RALEIGH |
$101 | — | — | — | — | — | — | — | — |
| DUKE REGIONAL HOSPITAL DURHAM |
$101 | — | — | — | — | — | — | — | — |
| LIFEBRITE COMMUNITY HOSPITAL OF STOKES HWY NORTH DANBURY |
$102 | — | — | — | — | — | — | — | — |
| CALDWELL MEMORIAL HOSPITAL MULBERRY ST SW LENOIR |
$124 | — | — | — | — | — | — | — | — |
| WAYNE UNC HEALTHCARE WAYNE MEMORIAL DR GOLDSBORO |
$133 | — | — | — | — | — | — | — | — |
| SWAIN COMMUNITY HOSPITAL BRYSON CITY |
$135 | $39.00 | $39.00 | $39.00 | $68.20 | $39.00 | — | — | $39.00 |
| UNC LENOIR HEALTH CARE AIRPORT RD KINSTON |
$140 | — | — | — | — | — | — | — | — |
| DUKE HEALTH LAKE NORMAN HOSPITAL MOORESVILLE |
$143 | — | — | — | — | — | — | — | — |
| WATAUGA MEDICAL CENTER BOONE |
$150 | — | — | — | — | — | — | — | — |
| CANNON MEMORIAL HOSPITAL LINVILLE |
$150 | — | — | — | — | — | — | — | — |
| WASHINGTON REGIONAL MEDICAL CENTER PLYMOUTH |
$152 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER MATTHEWS |
$155 | $155 | $41.13 | $41.13 | $160 | $41.13 | $223 | $232 | — |
| NOVANT HEALTH ROWAN MEDICAL CENTER SALISBURY |
$155 | $155 | $53.32 | $53.32 | $160 | $53.32 | $223 | $232 | — |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER HUNTERSVILLE |
$155 | $155 | $39.06 | $39.06 | $160 | $39.06 | $223 | $232 | — |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER CHARLOTTE |
$155 | $155 | $55.08 | $55.08 | $160 | $55.08 | $223 | $232 | — |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER BOLIVIA |
$155 | $155 | $44.51 | $44.51 | $122 | $44.51 | $267 | $279 | — |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER CHARLOTTE |
$155 | $155 | $64.48 | $64.48 | $160 | $64.48 | $223 | $232 | — |
| NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL CHARLOTTE |
$155 | $155 | $55.08 | $55.08 | $160 | $55.08 | $223 | $232 | — |
| NOVANT HEALTH MINT HILL MEDICAL CENTER CHARLOTTE |
$155 | $155 | $100 | $122 | $160 | $122 | $223 | $232 | — |
| CAREPARTNERS REHABILITATION HOSPITAL ASHEVILLE |
$156 | $87.20 | $91.35 | $88.06 | $92.33 | $85.49 | $88.06 | $128 | — |
| NOVANT HEALTH MEDICAL PARK HOSPITAL WINSTON-SALEM |
$157 | $131 | $63.35 | $63.35 | $101 | $63.35 | $204 | $236 | — |
| NOVANT HEALTH FORSYTH MEDICAL CENTER WINSTON-SALEM |
$157 | $131 | $49.62 | $49.62 | $101 | $49.62 | $204 | $236 | — |
| NOVANT HEALTH CLEMMONS MEDICAL CENTER CLEMMONS |
$157 | $131 | $49.62 | $49.62 | $101 | $49.62 | $204 | $236 | — |
| HARRIS REGIONAL HOSPITAL HOSPITAL ROAD SYLVA |
$169 | $44.60 | $31.79 | $49.49 | $105 | $48.70 | $102 | — | $100 |
| HAYWOOD REGIONAL MEDICAL CENTER CLYDE |
$169 | $44.60 | $16.03 | $45.31 | $100 | $37.10 | $102 | — | — |
| UNC HEALTH NASH CURTIS ELLIS DR ROCKY MOUNT |
$171 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH PENDER MEDICAL CENTER BURGAW |
$177 | $109 | $106 | $113 | $109 | $287 | $101 | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST DAVIE MEDICAL CENTER BERMUDA RUN |
$182 | $86.51 | $75.52 | $83.55 | $96.50 | $83.55 | $97.47 | $328 | — |
| UNC HEALTH PARDEE NORTH JUSTICE STREET HENDERSONVILLE |
$184 | — | — | — | — | — | — | — | — |
| CHATHAM HOSPITAL PROGRESS BOULEVARD SILER CITY |
$186 | — | — | — | — | — | — | — | — |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER THOMASVILLE |
$186 | $155 | $57.44 | $57.44 | $123 | $57.44 | $241 | $279 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST HIGH POINT MEDICAL CENTER HIGH POINT |
$192 | $115 | $122 | $56.40 | $211 | $56.40 | $358 | $346 | — |
| UNC ROCKINGHAM HOSPITAL EAST KINGS HWY EDEN |
$193 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WINSTON SALEM |
$193 | $91.48 | $79.86 | $88.36 | $187 | $88.36 | $211 | $347 | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST LEXINGTON MEDICAL CENTER LEXINGTON |
$194 | $110 | $91.80 | $74.03 | $169 | $74.03 | $342 | $350 | — |
| WILSON MEDICAL CENTER WILSON |
$196 | $57.90 | $31.23 | $48.66 | $51.30 | $42.20 | $100 | — | — |
| CATAWBA VALLEY MEDICAL CENTER HICKORY |
$202 | $205 | $102 | $100 | $97.00 | $51.00 | $99.00 | $286 | — |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM WHITEVILLE |
$203 | $99.88 | $96.50 | $64.86 | $101 | $64.86 | $99.40 | $261 | $193 |
| CONE HEALTH ANNIE PENN HOSPITAL REIDSVILLE |
$215 | — | — | — | — | — | — | — | — |
| CONE HEALTH WESLEY LONG HOSPITAL GREENSBORO |
$215 | — | — | — | — | — | — | — | — |
| CONE HEALTH MOSES CONE HOSPITAL GREENSBORO |
$215 | — | — | — | — | — | — | — | — |
| CONE HEALTH BEHAVIORAL HEALTH HOSPITAL GREENSBORO |
$215 | — | — | — | — | — | — | — | — |
| CONE HEALTH ALAMANCE REGIONAL MEDICAL CENTER BURLINGTON |
$215 | — | — | — | — | — | — | — | — |
| CAPE FEAR VALLEY BLADEN COUNTY HOSPITAL ELIZABETHTOWN |
$215 | $23.46 | $70.20 | $22.00 | $95.00 | — | $22.00 | $82.00 | — |
| CAPE FEAR VALLEY MEDICAL CENTER FAYETTEVILLE |
$215 | $50.00 | $63.08 | $97.15 | $60.00 | $35.00 | $75.00 | $82.00 | — |
| CAPE FEAR VALLEY HIGHSMITH-RAINEY SPECIALTY HOSPITAL FAYETTEVILLE |
$215 | $50.00 | $64.20 | $97.15 | $60.00 | $35.00 | $75.00 | $82.00 | — |
| CAPE FEAR VALLEY BETSY JOHNSON HOSPITAL DUNN |
$215 | $50.00 | $56.80 | $97.15 | $54.10 | $49.00 | $75.00 | $72.00 | — |
| CAPE FEAR VALLEY HOKE HOSPITAL RAEFORD |
$215 | $50.00 | $62.60 | $97.15 | $60.00 | $49.00 | $75.00 | $82.00 | — |
| UNC HEALTH SOUTHEASTERN TH ST LUMBERTON |
$215 | — | — | — | — | — | — | — | — |
| WAKEMED NORTH HOSPITAL RALEIGH |
$222 | $96.50 | $63.97 | $96.50 | — | — | — | — | — |
| WAKEMED CARY HOSPITAL CARY |
$222 | $96.50 | $63.97 | $116 | — | — | — | — | — |
| WAKEMED MENTAL HEALTH & WELL-BEING HOSPITAL - WAKEBROOK SUNNYBROOK ROAD RALEIGH |
$222 | — | — | — | — | — | — | — | — |
| ATRIUM HEALTH WAKE FOREST BAPTIST WILKES MEDICAL CENTER NORTH WILKESBORO |
$236 | $179 | $135 | $89.02 | $247 | $89.02 | — | $433 | — |
| UNC REX HOSPITAL LAKE BOONE TRAIL RALEIGH |
$242 | — | — | — | — | — | — | — | — |
| UNC MEDICAL CENTER MANNING DR CHAPEL HILL |
$242 | — | — | — | — | — | — | — | — |
| UNC HEALTH JOHNSTON N. BRIGHT LEAF BLVD. SMITHFIELD |
$242 | — | — | — | — | — | — | — | — |
| THE OUTER BANKS HOSPITAL NAGS HEAD |
$244 | — | — | — | — | — | — | — | — |
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 $215 for this?
That is the median of what the 97 North Carolina 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 North Carolina, Medicare reimburses about $97.15 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in North Carolina range from $61.37 to $710 — that means hospital cash prices are typically 2.2x 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 North Carolina?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in North Carolina range from $61.37 to $710, with a median of $215. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in North Carolina?
- The cheapest North Carolina hospital published cash price for this procedure is $61.37. 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 North Carolina
Methodology. Cash prices and insurance-negotiated rates published by each North Carolina facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.