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.
Hospital comparison — Vermont
Sorted by cash price (lowest first). Showing top 8 of 8 hospitals.
| Hospital | Cash | UHC | Aetna | Cigna | BCBS | Humana | Centene | MultiPlan | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| 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 | — | — | — | — | — | — | — | — |
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.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
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.