Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Texas
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 310 Texas hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $328
📉 Low $25.92
📈 High $3,065
🏥 310 hospitals
🏛️ 239 with insurance contracts
🇺🇸 Medicare $100
Hospital comparison — Texas
Sorted by cash price (lowest first). Showing top 60 of 310 hospitals.
Billed more than $328 for this? That gap is evidence.
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| Hospital | Cash | BCBS | Aetna | UHC | Cigna | MultiPlan | Centene | Humana | Molina |
|---|---|---|---|---|---|---|---|---|---|
| UT HEALTH QUITMAN QUITMAN |
$25.92 | — | — | — | — | — | — | — | — |
| UT HEALTH PITTSBURG PITTSBURG |
$30.00 | — | — | — | — | — | — | — | — |
| BSA HARRINGTON CANCER CENTER AMARILLO |
$37.40 | — | — | — | — | — | — | — | — |
| BSA HOSPITAL AMARILLO |
$37.40 | — | — | — | — | — | — | — | — |
| UT HEALTH HENDERSON HENDERSON |
$39.80 | — | — | — | — | — | — | — | — |
| UT HEALTH CARTHAGE CARTHAGE |
$39.80 | — | — | — | — | — | — | — | — |
| UT HEALTH NORTH CAMPUS TYLER TYLER |
$44.90 | — | — | — | — | — | — | — | — |
| UT HEALTH JACKSONVILLE JACKSONVILLE |
$52.80 | — | — | — | — | — | — | — | — |
| NACOGDOCHES MEMORIAL HOSPITAL NACOGDOCHES |
$55.00 | $101 | $146 | $134 | — | $146 | — | $98.00 | $103 |
| BAYLOR SCOTT & WHITE SURGICAL HOSPITAL FORT WORTH FORT WORTH |
$73.80 | $3,986 | — | — | — | — | — | — | — |
| UT HEALTH EAST TEXAS REHABILITATION HOSPITAL TYLER |
$76.40 | — | — | — | — | — | — | — | — |
| NORTH TEXAS MEDICAL CENTER GAINESVILLE |
$77.00 | $93.00 | $98.00 | $98.00 | $123 | $215 | — | $98.00 | $98.00 |
| UT HEALTH TYLER HOSPITAL TYLER |
$79.20 | — | — | — | — | — | — | — | — |
| BOMAR REHABILITATION CENTER NACOGDOCHES |
$81.00 | $149 | $217 | $134 | — | $217 | — | — | $271 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER UPTOWN DALLAS |
$82.20 | $3,986 | — | — | — | — | — | — | — |
| COLUMBUS COMMUNITY HOSPITAL COLUMBUS |
$93.75 | $246 | — | $125 | — | — | — | — | — |
| BAYLOR SURGICAL HOSPITAL AT LAS COLINAS IRVING |
$97.80 | $3,986 | — | — | — | — | — | — | — |
| HARLINGEN MEDICAL CENTER HARLINGEN |
$98.00 | $98.03 | $92.39 | $98.03 | $98.03 | — | $98.03 | $98.03 | $103 |
| MISSION REGIONAL MEDICAL CENTER MISSION |
$98.00 | $98.03 | $98.03 | $98.03 | $98.03 | — | $98.03 | — | $103 |
| KNAPP MEDICAL CENTER WESLACO |
$98.00 | $98.03 | — | $98.03 | $98.03 | $103 | $98.03 | — | $103 |
| CHRISTUS SANTA ROSA HOSPITAL - WESTOVER HILLS SAN ANTONIO |
$99.33 | $226 | $64.99 | $259 | $283 | — | — | $208 | — |
| DALLAS MEDICAL CENTER DALLAS |
$100 | $101 | $101 | $87.00 | $101 | — | $101 | $101 | $106 |
| DALLAS REGIONAL MEDICAL CENTER MESQUITE |
$100 | $97.75 | $101 | $89.00 | $101 | $106 | $101 | — | $106 |
| ACUTE REHABILITATION HOSPITAL OF PLANO SUITE 200 |
$103 | — | — | — | — | — | — | — | — |
| CORYELL MEMORIAL HOSPITAL GATESVILLE |
$107 | $137 | $151 | $178 | $56.00 | $55.00 | — | $55.00 | — |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS |
$108 | $103 | $103 | $100 | $146 | — | — | $97.79 | $97.79 |
| EASTLAND MEMORIAL HOSPITAL EASTLAND |
$109 | $148 | — | $135 | — | — | — | — | — |
| HUNTSVILLE MEMORIAL HOSPITAL HUNTSVILLE |
$110 | $221 | $60.00 | $98.00 | $529 | $397 | $98.00 | $356 | $113 |
| LUBBOCK HEART HOSPITAL LUBBOCK |
$111 | $98.01 | $26.80 | $98.01 | $85.00 | $75.00 | $98.01 | $98.01 | — |
| NORTH CENTRAL SURGICAL CENTER UNIT 100 |
$112 | $3,986 | — | — | — | — | — | — | — |
| STEPHENS MEMORIAL HOSPITAL BRECKENRIDGE |
$112 | $128 | $128 | $57.60 | $114 | — | — | $57.60 | — |
| MIDCOAST MEDICAL CENTER CROCKETT CROCKETT |
$116 | — | — | — | — | — | — | — | — |
| PAMPA REGIONAL MEDICAL CENTER PAMPA |
$122 | $80.89 | $96.07 | $79.00 | — | — | — | — | $103 |
| BAYLOR SCOTT & WHITE ORTHOPEDIC AND SPINE HOSPITAL ARLINGTON ARLINGTON |
$131 | $3,986 | — | — | — | — | — | — | — |
| ST LUKES HEALTH MEMORIAL LUFKIN LUFKIN |
$131 | $199 | $552 | $219 | $100 | $596 | — | $447 | — |
| ST. LUKE'S HEALTH MEMORIAL HOSPITAL SAN AUGUSTINE SAN AUGUSTINE |
$131 | $199 | $219 | $158 | $100 | $596 | — | $613 | — |
| ST LUKE'S HEALTH - MEMORIAL LIVINGSTON LIVINGSTON |
$131 | $199 | $534 | $193 | $100 | $596 | — | $420 | — |
| ASCENSION SETON HIGHLAND LAKES BURNET |
$133 | $159 | $160 | — | — | — | — | — | — |
| ASCENSION SETON EDGAR B DAVIS HOSPITAL LULING |
$133 | $159 | $160 | — | — | — | — | — | — |
| DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS AUSTIN |
$134 | $159 | $160 | — | — | — | — | — | — |
| YOAKUM COUNTY HOSPITAL DENVER CITY |
$134 | — | — | — | — | — | — | — | — |
| ASCENSION SETON BASTROP BASTROP |
$135 | $159 | $97.79 | $99.75 | — | — | $97.79 | $97.79 | — |
| ASCENSION SETON SMITHVILLE REGIONAL HOSPITAL SMITHVILLE |
$135 | $159 | $160 | — | — | — | — | — | — |
| CHRISTUS HEALTH PALESTINE PALESTINE |
$139 | — | — | — | — | — | — | — | — |
| UNIVERSITY DIALYSIS WEST SAN ANTONIO |
$140 | $99.75 | $95.00 | $64.00 | — | $97.79 | $97.79 | $97.79 | $101 |
| ASCENSION SETON MEDICAL CENTER HAYS KYLE |
$141 | $159 | $97.79 | $97.79 | — | — | $97.79 | $97.79 | — |
| ASCENSION SETON SOUTHWEST HOSPITAL AUSTIN |
$141 | $159 | $97.79 | $99.75 | — | — | $97.79 | $97.79 | — |
| ASCENSION SETON NORTHWEST HOSPITAL AUSTIN |
$141 | $159 | $97.79 | $99.75 | — | — | $97.79 | $97.79 | — |
| ASCENSION SETON MEDICAL CENTER AUSTIN AUSTIN |
$141 | $159 | $97.79 | $97.79 | — | — | $97.79 | $97.79 | — |
| JACKSON COUNTY HOSPITAL DISTRICT EDNA |
$142 | $106 | $133 | $142 | $150 | — | — | $124 | — |
| MEMORIAL HERMANN SURGICAL HOSPITAL KINGWOOD KINGWOOD |
$145 | $410 | $154 | — | — | — | — | — | — |
| AHS SHERMAN MEDICAL CENTER SHERMAN |
$151 | — | $58.00 | $225 | $250 | — | — | — | — |
| ST. LUKE'S HEALTH BRAZOSPORT HOSPITAL LAKE JACKSON |
$152 | $183 | $65.10 | $90.00 | $255 | — | — | — | — |
| CLAY COUNTY MEMORIAL HOSPITAL HENRIETTA |
$153 | $70.00 | $55.00 | — | $59.00 | — | — | — | — |
| ASCENSION PROVIDENCE HOSPITAL WACO |
$155 | $154 | $99.75 | $99.75 | — | — | $147 | — | — |
| HEMPHILL COUNTY HOSPITAL CANADIAN |
$156 | $104 | $104 | $104 | — | — | — | $104 | — |
| CHRISTUS WEST BEAUMONT BEAUMONT |
$156 | $336 | $339 | $74.00 | $245 | — | — | $184 | — |
| CHRISTUS SOUTHEAST TEXAS ORTHOPEDIC SPECIALTY CENTER SUITE 290 |
$156 | $336 | $339 | $74.00 | $245 | — | — | $184 | — |
| CHRISTUS HOSPITAL ORANGE ORANGE |
$156 | $336 | $339 | $74.00 | $245 | — | — | $184 | — |
| CHRISTUS SOUTHEAST TEXAS ST. ELIZABETH BEAUMONT |
$156 | $336 | $339 | $74.00 | $245 | — | — | $184 | — |
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 $328 for this?
That is the median of what the 310 Texas 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 Texas, Medicare reimburses about $100 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Texas range from $25.92 to $3,065 — that means hospital cash prices are typically 3.3x 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 Texas?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Texas range from $25.92 to $3,065, with a median of $328. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Texas?
- The cheapest Texas hospital published cash price for this procedure is $25.92. 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 Texas
Methodology. Cash prices and insurance-negotiated rates published by each Texas facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.