Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Ohio
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 115 Ohio hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $274
📉 Low $96.00
📈 High $829
🏥 115 hospitals
🏛️ 64 with insurance contracts
🇺🇸 Medicare $96.30
Hospital comparison — Ohio
Sorted by cash price (lowest first). Showing top 60 of 115 hospitals.
Billed more than $274 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Molina | Humana | MultiPlan | Cigna | Centene | First Health |
|---|---|---|---|---|---|---|---|---|---|
| COSHOCTON REGIONAL MEDICAL CENTER COSHOCTON |
$96.00 | — | $96.31 | $96.31 | — | $144 | — | — | — |
| EAST LIVERPOOL CITY HOSPITAL EAST LIVERPOOL |
$96.00 | — | $94.38 | $96.31 | — | $144 | — | — | — |
| HOLZER GALLIPOLIS GALLIPOLIS |
$123 | — | — | — | — | — | — | — | — |
| KINGS DAUGHTERS MEDICAL CENTER OHIO PORTSMOUTH |
$131 | $217 | $209 | — | — | $295 | $113 | — | — |
| HOLZER MEDICAL CENTER JACKSON JACKSON |
$138 | — | — | — | — | — | — | — | — |
| HARRISON COMMUNITY HOSPITAL CADIZ |
$144 | $30.00 | $42.00 | — | $44.10 | $95.00 | $95.00 | — | — |
| TRIHEALTH CLINTON REGIONAL HOSPITAL WILMINGTON |
$150 | $96.30 | — | — | — | — | — | — | — |
| LIMA MEMORIAL HEALTH SYSTEM LIMA |
$151 | $96.30 | — | — | — | — | — | — | — |
| AULTMAN ORRVILLE HOSPITAL ORRVILLE |
$155 | — | — | — | — | — | — | — | — |
| BARNESVILLE HOSPITAL BARNESVILLE |
$159 | $31.50 | $28.38 | — | $31.50 | $95.00 | $95.00 | — | — |
| AULTMAN HOSPITAL CANTON |
$163 | $96.30 | — | — | — | — | — | — | — |
| UCHEALTH SURGICAL CENTER WEST CHESTER |
$168 | $96.30 | — | — | — | — | — | — | — |
| UCHEALTH UNIVERSITY OF CINCINNATI MEDICAL CENTER CINCINNATI |
$168 | $96.30 | — | — | $130 | — | — | — | — |
| MERCY HEALTH - DEFIANCE HOSPITAL DEFIANCE |
$170 | — | — | — | — | — | — | — | — |
| GRAND LAKE HEALTH SYSTEM SAINT MARYS |
$175 | — | — | — | — | — | — | — | — |
| POMERENE HOSPITAL MILLERSBURG |
$176 | $96.27 | $96.26 | $94.37 | $90.00 | $90.00 | $195 | — | $90.00 |
| GRADY MEMORIAL HOSPITAL DELAWARE |
$176 | $96.30 | — | $100 | — | — | — | — | — |
| THE CHRIST HOSPITAL AUBURN AVE CINCINNATI |
$179 | — | — | — | — | — | — | — | — |
| MERCY HEALTH KINGS MILLS HOSPITAL MASON |
$181 | — | — | — | — | — | — | — | — |
| MERCY HEALTH - WEST HOSPITAL CINCINNATI |
$181 | — | — | — | — | — | — | — | — |
| MERCY HEALTH - CLERMONT HOSPITAL BATAVIA |
$181 | — | — | — | — | — | — | — | — |
| MERCY HEALTH - FAIRFIELD HOSPITAL FAIRFIELD |
$181 | — | — | — | — | — | — | — | — |
| MERCY HEALTH - THE JEWISH HOSPITAL CINCINNATI |
$181 | — | — | — | — | — | — | — | — |
| MERCY HOSPITAL ANDERSON CINCINNATI |
$181 | — | — | — | — | — | — | — | — |
| THREE GABLES SURGERY CENTER HUNTINGTON |
$183 | $95.14 | $94.20 | — | $94.20 | — | — | — | — |
| THREE GABLES SURGERY CENTER HUNTINGTON |
$183 | $95.14 | $94.20 | — | $94.20 | — | — | — | — |
| VAN WERT HOSPITAL VAN WERT |
$188 | $96.30 | — | — | — | — | — | — | — |
| CINCINNATI CHILDREN'S COLLEGE HILL CAMPUS CINCINNATI |
$193 | $94.75 | $100 | $212 | $94.75 | — | $182 | $99.68 | — |
| HENRY COUNTY HOSPITAL NAPOLEON |
$195 | — | — | — | — | — | — | — | — |
| GENESIS HOSPITAL ZANESVILLE |
$198 | — | — | — | — | — | — | — | — |
| SOUTHEASTERN OHIO REGIONAL MEDICAL CENTER CAMBRIDGE |
$218 | $96.30 | — | — | — | — | — | — | — |
| MERCER COUNTY COMMUNITY HOSPITAL COLDWATER |
$225 | $99.19 | — | $159 | $97.74 | — | — | — | — |
| OHIOHEALTH MANSFIELD HOSPITAL MANSFIELD |
$226 | $96.30 | — | $100 | — | — | — | — | — |
| OHIOHEALTH SHELBY HOSPITAL SHELBY |
$226 | — | — | — | — | — | — | — | — |
| MERCY TIFFIN HOSPITAL TIFFIN |
$236 | — | — | — | — | — | — | — | — |
| ADENA GREENFIELD MEDICAL CENTER GREENFIELD |
$236 | $113 | $113 | $113 | $115 | $449 | $449 | — | $370 |
| ADENA FAYETTE MEDICAL CENTER WASHINGTON COURT HOUSE |
$236 | $194 | $297 | $194 | $194 | $449 | $326 | — | $370 |
| ADENA PIKE MEDICAL CENTER WAVERLY |
$236 | $113 | $406 | $113 | $113 | $449 | $342 | — | $370 |
| ADENA REGIONAL MEDICAL CENTER CHILLICOTHE |
$236 | $96.24 | $96.24 | $96.24 | $96.24 | $449 | $169 | — | $370 |
| KETTERING HEALTH MAIN CAMPUS KETTERING |
$242 | — | — | — | — | — | — | — | — |
| KETTERING HEALTH HAMILTON HAMILTON |
$242 | — | — | — | — | — | — | — | — |
| KETTERING HEALTH DAYTON DAYTON |
$242 | — | — | — | — | — | — | — | — |
| KETTERING HEALTH TROY TROY |
$242 | — | — | — | — | — | — | — | — |
| KETTERING HEALTH BEHAVIORAL MEDICAL CENTER DAYTON |
$242 | — | — | — | — | — | — | — | — |
| KETTERING HEALTH GREENE MEMORIAL XENIA |
$242 | — | — | — | — | — | — | — | — |
| SOIN MEDICAL CENTER BEAVERCREEK |
$242 | — | — | — | — | — | — | — | — |
| CLEARSKY REHABILITATION HOSPITAL OF LANCASTER LANCASTER |
$247 | — | — | — | — | — | — | — | — |
| WAYNE HOSPITAL GREENVILLE |
$249 | $33.00 | $33.00 | — | $33.00 | — | $33.00 | $33.00 | — |
| O'BLENESS MEMORIAL HOSPITAL ATHENS |
$255 | $96.30 | — | — | — | — | — | — | — |
| ASHTABULA COUNTY MEDICAL CENTER ASHTABULA |
$256 | $79.16 | $87.76 | $122 | — | — | $157 | — | — |
| DAYTON CHILDREN'S HOSPITAL DAYTON |
$260 | $90.00 | $50.00 | — | $98.00 | $98.00 | $98.00 | $96.30 | — |
| SUMMA REHABILITATION HOSPITAL AKRON |
$260 | — | — | — | — | — | — | — | — |
| MEMORIAL HOSPITAL OF UNION COUNTY MARYSVILLE |
$263 | $85.00 | $78.00 | $96.30 | $89.00 | $85.00 | $81.50 | — | $90.00 |
| UH CONNEAUT MEDICAL CENTER CONNEAUT |
$266 | $110 | $110 | $110 | $110 | $319 | $110 | $110 | $294 |
| UH GENEVA MEDICAL CENTER GENEVA |
$266 | $70.80 | $70.80 | $70.80 | $70.80 | $319 | $70.80 | $70.80 | $294 |
| PAULDING COUNTY HOSPITAL WEST WAYNE STREET PAULIDNG |
$270 | — | — | — | — | — | — | — | — |
| DOCTORS HOSPITAL COLUMBUS |
$274 | $96.30 | — | — | — | — | — | — | — |
| OHIOHEALTH GROVE CITY METHODIST HOSPITAL GROVE CITY |
$274 | $96.30 | — | — | — | — | — | — | — |
| RIVERSIDE METHODIST HOSPITAL COLUMBUS |
$274 | $96.30 | — | — | — | — | — | — | — |
| PICKERINGTON METHODIST HOSPITAL PICKERINGTON |
$274 | $96.30 | — | — | — | — | — | — | — |
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 $274 for this?
That is the median of what the 115 Ohio 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 Ohio, Medicare reimburses about $96.30 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Ohio range from $96.00 to $829 — that means hospital cash prices are typically 2.8x 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 Ohio?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Ohio range from $96.00 to $829, with a median of $274. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Ohio?
- The cheapest Ohio hospital published cash price for this procedure is $96.00. 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 Ohio
Methodology. Cash prices and insurance-negotiated rates published by each Ohio facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.