Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Vermont

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 8 Vermont hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $257 📉 Low $162 📈 High $496 🏥 8 hospitals 🏛️ 6 with insurance contracts 🇺🇸 Medicare $99.88

Hospital comparison — Vermont

Sorted by cash price (lowest first). Showing top 8 of 8 hospitals.

Billed more than $257 for this? That gap is evidence. Build my dispute letter
HospitalCashUHCAetnaCignaBCBSHumanaCenteneMultiPlanMedicare
BRATTLEBORO RETREAT
BRATTLEBORO
$162 ————————
NORTHWESTERN MEDICAL CENTER
SAINT ALBANS
$163 $85.00$99.63$82.00—$99.63——$99.63
BRATTLEBORO MEMORIAL HOSPITAL
BRATTLEBORO
$252 $99.63$350$99.63$85.56$99.63$105$120—
SPRINGFIELD HOSPITAL
SPRINGFIELD
$257 $130$325$240$342—$134$284—
NORTHEASTERN VERMONT REGIONAL HOSPITAL
ST. JOHNSBURY
$288 $365——$142————
UNIVERSITY OF VERMONT MEDICAL CENTER
BURLINGTON
$408 $68.41$99.63$370$102$99.63$115——
MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER
WINDSOR
$419 $498$498$487$466————
RUTLAND REGIONAL MEDICAL CENTER
RUTLAND
$496 ————————
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 $257 for this?

That is the median of what the 8 Vermont 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 Vermont, Medicare reimburses about $99.88 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Vermont range from $162 to $496 — that means hospital cash prices are typically 2.6x 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 Vermont?
Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Vermont range from $162 to $496, with a median of $257. Prices vary widely by hospital.
Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Vermont?
The cheapest Vermont hospital published cash price for this procedure is $162. 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 Vermont

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