Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Tennessee

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 78 Tennessee hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $130 📉 Low $51.81 📈 High $1,303 🏥 78 hospitals 🏛️ 67 with insurance contracts 🇺🇸 Medicare $95.94

Hospital comparison — Tennessee

Sorted by cash price (lowest first). Showing top 60 of 78 hospitals.

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HospitalCashUHCCignaAetnaBCBSCenteneHumanaDevotedMedicare
VITRUVIAN HEALTH BRADLEY MEDICAL CENTER
CLEVELAND
$51.81 $101—$98.82$92.84$99.78———
PARKWEST MEDICAL CENTER
KNOXVILLE
$54.60 $182$138$150$100$156———
FORT SANDERS REGIONAL MEDICAL CENTER
KNOXVILLE
$56.42 $182$138$150$100$156———
LECONTE MEDICAL CENTER
SEVIERVILLE
$56.42 $182$138$150$100$156———
MORRISTOWN-HAMBLEN HEALTHCARE SYSTEM
MORRISTOWN
$56.42 $182$138$150$100$156———
METHODIST MEDICAL CENTER OF OAK RIDGE
OAK RIDGE
$56.42 $182$138$150$100$156———
CUMBERLAND MEDICAL CENTER
CROSSVILLE
$56.42 $181$138$150$100$156———
ROANE MEDICAL CENTER
HARRIMAN
$56.42 $182$138$150$100$156———
FORT LOUDOUN MEDICAL CENTER
LENOIR CITY
$58.24 $182$138$150$100$156———
ASCENSION SAINT THOMAS RUTHERFORD HOSPITAL
MEDICAL CENTER PKWY MURFREESBORO
$69.56 ————————
ASCENSION SAINT THOMAS WEST HOSPITAL
HARDING PK NASHVILLE
$69.56 $94.86—$96.76$98.65$123$94.86—$89.17
JOHNSON COUNTY COMMUNITY HOSPITAL
MOUNTAIN CITY
$74.06 $46.00$98.05$93.38$75.13$93.38$94.87$98.05$93.38
HANCOCK COUNTY HOSPITAL
SNEEDVILLE
$74.06 $46.00$149$229$75.13$229$232$240$229
HANCOCK COUNTY HOSPITAL
SNEEDVILLE
$74.06 $46.00$149$229$75.13$229$232$240$229
FRANKLIN WOODS COMMUNITY HOSPITAL
JOHNSON CITY
$75.45 $46.00$101$95.94$91.33$102$95.94$101$95.94
HOLSTON VALLEY MEDICAL CENTER
KINGSPORT
$75.45 $61.00$101$95.94$75.13$102$95.94$101$95.94
HAWKINS COUNTY MEMORIAL HOSPITAL
ROGERSVILLE
$75.45 $43.00$101$95.94$75.13$102$95.94$101$95.94
JOHNSON CITY MEDICAL CENTER
JOHNSON CITY
$75.45 $44.00$101$95.94$75.13$102$95.94$101$95.94
BRISTOL REGIONAL MEDICAL CENTER
BRISTOL
$75.45 $57.00$101$95.94$75.13$102$95.94$101$95.94
SYCAMORE SHOALS HOSPITAL
ELIZABETHTON
$75.45 $39.00$101$95.94$75.13$102$95.94$101$95.94
INDIAN PATH COMMUNITY HOSPITAL
KINGSPORT
$75.45 $38.00$101$95.94$75.13$102$95.94$101$95.94
GREENEVILLE COMMUNITY HOSPITAL
GREENEVILLE
$75.45 $37.00$101$95.94$75.13$102$95.94$101$95.94
METHODIST NORTH HOSPITAL
MEMPHIS
$78.32 ————————
LE BONHEUR CHILDREN'S HOSPITAL
MEMPHIS
$78.32 ————————
METHODIST SOUTH HOSPITAL
MEMPHIS
$78.32 ————————
METHODIST LE BONHEUR GERMANTOWN HOSPITAL
GERMANTOWN
$78.32 ————————
METHODIST UNIVERSITY HOSPITAL
MEMPHIS
$78.32 ————————
WILLIAMSON MEDICAL CENTER
FRANKLIN
$91.28 $73.99$97.92$94.86$94.86$96.76$94.86$96.76—
SWEETWATER HOSPITAL ASSOCIATION
SWEETWATER
$107 ————————
STARR REGIONAL MEDICAL CENTER ETOWAH
ETOWAH
$110 ————————
STARR REGIONAL MEDICAL CENTER
ATHENS
$110 $40.40$52.20$51.00$74.00$300$74.00$103$100
PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL
MARYVILLE
$113 ————————
HENDERSON COUNTY COMMUNITY HOSPITAL
LEXINGTON
$115 $288———————
HOUSTON COUNTY COMMUNITY HOSPITAL
ERIN
$115 $288———————
HAYWOOD COUNTY COMMUNITY HOSPITAL
BROWNSVILLE
$115 $288———————
ASCENSION SAINT THOMAS RIVER PARK HOSPITAL
SPARTA RD MCMINNVILLE
$123 $94.86$132$96.76$94.86$123$94.86—$94.86
HARDIN MEDICAL CENTER
SAVANNAH
$124 $55.00$209——————
ASCENSION SAINT THOMAS STONES RIVER HOSPITAL
DOOLITTLE RD WOODBURY
$130 $94.86$132$96.76$64.77$123$94.86—$94.86
ASCENSION SAINT THOMAS HIGHLANDS HOSPITAL
SEWELL DR SPARTA
$130 $94.86$132$96.76$64.77$123$94.86—$94.86
ASCENSION SAINT THOMAS DEKALB
W MAIN ST SMITHVILLE
$130 $94.86$132$96.76$64.77$123$94.86—$94.86
CHI MEMORIAL HOSPITAL HIXSON
HIXSON
$135 $70.00$121$320$96.40$91.40———
MARSHALL MEDICAL CENTER
LEWISBURG
$139 ——$69.60$90.29—$110——
THE UNIVERSITY OF TENNESSEE MEDICAL CENTER
KNOXVILLE
$146 $75.89$94.86$98.65$83.50$99.60$94.86$98.65$101
VANDERBILT WILSON COUNTY HOSPITAL
LEBANON
$151 $70.48———————
VANDERBILT TULLAHOMA-HARTON HOSPITAL
TULLAHOMA
$151 $70.48———————
VANDERBILT BEDFORD HOSPITAL
SHELBYVILLE
$151 $70.48———————
WAYNE MEDICAL CENTER
WAYNESBORO
$156 $99.60$99.60$62.40$90.29$99.60$95.53—$99.60
MAURY REGIONAL HOSPITAL
COLUMBIA
$156 $94.86$94.86$46.10$90.29$97.71$94.86—$94.86
LINCOLN MEDICAL CENTER
FAYETTEVILLE
$162 —$95.76——————
MACON COMMUNITY HOSPITAL
LAFAYETTE
$171 $40.00$80.00$242$82.53$82.53$82.53——
HIGHPOINT HEALTH - SUMNER WITH ASCENSION SAINT THOMAS
GALLATIN
$182 $102$52.20$31.10$69.00$215$100$103$100
CHI MEMORIAL HOSPITAL CHATTANOOGA
CHATTANOOGA
$193 $70.00$121$320$96.40$95.97———
SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM SEWANEE
HOSPITAL ROAD WINCHESTER
$200 $40.40$52.20$52.00$74.00—$74.00$103$100
UNITY PSYCHIATRIC CARE MEMPHIS
MEMPHIS
$215 $215$215——————
UNITY PSYCHIATRIC CARE MARTIN
MARTIN
$215 $215$215——————
UNITY PSYCHIATRIC CARE COLUMBIA
COLUMBIA
$215 $215$215——————
UNITY PSYCHIATRIC CARE CLARKSVILLE
CLARKSVILLE
$215 $215$215——————
NASHVILLE GENERAL HOSPITAL
NASVILLE
$220 —$43.69$202$93.19————
VANDERBILT CLARKSVILLE HOSPITAL
CLARKSVILLE
$221 $74.00$123$96.14$84.20$94.86$93.34$94.82$93.34
SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG $223 $40.40$52.20$52.00$74.00—$74.00$103$100
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 $130 for this?

That is the median of what the 78 Tennessee 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 Tennessee, Medicare reimburses about $95.94 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Tennessee range from $51.81 to $1,303 — that means hospital cash prices are typically 1.4x 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 Tennessee?
Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Tennessee range from $51.81 to $1,303, with a median of $130. Prices vary widely by hospital.
Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Tennessee?
The cheapest Tennessee hospital published cash price for this procedure is $51.81. 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 Tennessee

Methodology. Cash prices and insurance-negotiated rates published by each Tennessee facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.