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Evaluation for Occupational Therapy, Typically 45 Minutes Cost in North Dakota
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 27 North Dakota hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $315
📉 Low $168
📈 High $463
🏥 27 hospitals
🏛️ 20 with insurance contracts
🇺🇸 Medicare $100
Hospital comparison — North Dakota
Sorted by cash price (lowest first). Showing top 27 of 27 hospitals.
Billed more than $315 for this? That gap is evidence.
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| Hospital | Cash | BCBS | UHC | Aetna | MultiPlan | Humana | Medicare | Cigna | Health Net |
|---|---|---|---|---|---|---|---|---|---|
| CHI ST. ALEXIUS HEALTH BISMARCK BISMARCK |
$168 | — | $217 | — | $296 | — | — | — | — |
| ESSENTIA HEALTH FARGO ND AVE S FARGO |
$188 | $99.97 | $99.97 | $212 | — | — | $99.97 | $168 | — |
| CHI ST. ALEXIUS HEALTH GARRISON GARRISON |
$195 | $146 | $144 | — | $258 | $144 | — | — | — |
| CHI ST. ALEXIUS HEALTH TURTLE LAKE TURTLE LAKE |
$204 | $208 | $204 | — | $258 | $204 | — | — | — |
| CHI ST. ALEXIUS HEALTH WILLISTON WILLISTON |
$209 | $162 | $263 | — | $338 | — | — | — | — |
| NELSON COUNTY HEALTH SYSTEM MCVILLE |
$221 | $188 | $232 | — | — | — | — | — | — |
| SANFORD MEDICAL CENTER - BISMARCK BISMARCK |
$272 | $103 | $103 | $103 | $306 | — | $103 | $306 | $306 |
| SANFORD BROADWAY MEDICAL CENTER FARGO |
$280 | $103 | $103 | $103 | $315 | — | $103 | $315 | $315 |
| SANFORD MEDICAL CENTER HILLSBORO HILLSBORO |
$294 | $89.09 | $182 | $182 | $331 | — | $182 | — | $331 |
| SANFORD MEDICAL CENTER MAYVILLE MAYVILLE |
$294 | $89.09 | $197 | $197 | $331 | — | $197 | — | $331 |
| TRINITY HOSPITAL MINOT |
$306 | — | — | — | — | — | — | — | — |
| TRINITY HEALTH KENMARE HOSPITAL KENMARE |
$306 | — | — | — | — | — | — | — | — |
| NORTHWOOD DEACONESS HEALTH CENTER NORTHWOOD |
$310 | — | — | — | — | — | — | — | — |
| SOUTHWEST HEALTHCARE SERVICES BOWMAN |
$315 | — | — | — | — | — | — | — | — |
| JAMESTOWN REGIONAL MEDICAL CENTER JAMESTOWN |
$315 | $394 | — | $276 | — | — | — | — | — |
| JACOBSON MEMORIAL HOSPITAL CARE CENTER ELGIN |
$316 | $421 | — | — | — | $421 | — | — | — |
| MOUNTRAIL COUNTY MEDICAL CENTER STANLEY |
$360 | $400 | $176 | $300 | — | $380 | — | — | — |
| VIBRA HOSPITAL OF FARGO SOUTH UNIVERSITY DRIVE FARGO |
$363 | — | — | — | — | — | — | — | — |
| VIBRA HOSPITAL OF CENTRAL DAKOTAS MANDAN |
$363 | — | — | — | — | — | — | — | — |
| TOWNER COUNTY MEDICAL CENTER CANDO |
$390 | $226 | $234 | $234 | — | — | — | — | — |
| PAM HEALTH REHABILITATION HOSPITAL FARGO FARGO |
$403 | $75.36 | $95.00 | $93.66 | $322 | — | — | $124 | — |
| SMP HEALTH ST. ALOISIUS HARVEY |
$419 | $291 | — | — | — | — | — | — | — |
| MCKENZIE COUNTY HEALTHCARE SYSTEMS WATFORD CITY |
$421 | $317 | $615 | — | — | $311 | — | — | — |
| SMP HEALTH ST. ANDREW'S BOTTINEAU |
$421 | $304 | $409 | — | — | — | — | — | — |
| FIRST CARE HEALTH CENTER PARK RIVER |
$437 | — | — | — | — | — | — | — | — |
| SMP HEALTH ST. KATERI ROLLA |
$449 | $399 | — | — | — | — | — | — | — |
| TIOGA MEDICAL CENTER TIOGA |
$463 | $463 | — | — | — | — | — | — | — |
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 $315 for this?
That is the median of what the 27 North Dakota 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 Dakota, Medicare reimburses about $100 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in North Dakota range from $168 to $463 — that means hospital cash prices are typically 3.1x 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 Dakota?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in North Dakota range from $168 to $463, with a median of $315. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in North Dakota?
- The cheapest North Dakota hospital published cash price for this procedure is $168. 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 Dakota
Methodology. Cash prices and insurance-negotiated rates published by each North Dakota facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.