Evaluation for Occupational Therapy, Typically 45 Minutes Cost in Virginia
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 68 Virginia hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Virginia
Sorted by cash price (lowest first). Showing top 60 of 68 hospitals.
| Hospital | Cash | Aetna | UHC | Cigna | Humana | BCBS | Devoted | MultiPlan | Medicare |
|---|---|---|---|---|---|---|---|---|---|
| CENTRA SOUTHSIDE COMMUNITY HOSPITAL OAK STREET FARMVILLE |
$66.33 | $34.20 | $92.47 | $70.90 | — | — | — | — | — |
| CENTRA SPECIALTY HOSPITAL RIVERMONT AVE LYNCHBURG |
$66.33 | $34.20 | $89.00 | $67.60 | — | — | — | — | — |
| CENTRA LYNCHBURG GENERAL HOSPITAL LYNCHBURG |
$66.33 | $34.20 | $89.00 | $67.60 | — | — | — | — | — |
| CENTRA BEDFORD MEMORIAL HOSPITAL BEDFORD |
$66.33 | $34.20 | $92.47 | $90.00 | — | — | — | — | — |
| LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP |
$74.06 | $70.84 | $46.00 | $74.38 | $71.97 | $72.97 | $74.38 | — | $70.84 |
| LEE COUNTY COMMUNITY HOSPITAL PENNINGTON GAP |
$74.06 | $70.84 | $46.00 | $74.38 | $71.97 | $72.97 | $74.38 | — | $70.84 |
| DICKENSON COMMUNITY HOSPITAL CLINTWOOD |
$74.06 | $96.60 | $46.00 | $101 | $98.15 | $96.60 | $101 | — | $96.60 |
| LONESOME PINE HOSPITAL BIG STONE GAP |
$75.45 | $99.61 | $46.00 | $105 | $99.61 | $99.61 | $105 | — | $99.61 |
| SMYTH COUNTY COMMUNITY HOSPITAL MARION |
$75.45 | $99.61 | $46.00 | $105 | $99.61 | $99.61 | $105 | — | $99.61 |
| RUSSELL COUNTY HOSPITAL LEBANON |
$75.45 | $99.61 | $46.00 | $105 | $101 | $99.61 | $105 | — | $99.61 |
| JOHNSTON MEMORIAL HOSPITAL ABINGDON |
$75.45 | $99.61 | $46.00 | $105 | $99.61 | $75.13 | $105 | — | $99.61 |
| WYTHE COUNTY COMMUNITY HOSPITAL WYTHEVILLE |
$109 | $41.60 | $63.10 | $64.70 | $100 | $8.60 | — | — | $100 |
| STAFFORD HOSPITAL HOSPITAL CENTER BLVD. STAFFORD |
$121 | $353 | $353 | — | $99.00 | $99.00 | — | $387 | — |
| MARY WASHINGTON HOSPITAL FREDERICKSBURG |
$121 | $353 | $353 | — | $99.00 | $99.00 | — | $387 | — |
| CARILION GILES COMMUNITY HOSPITAL BELLEVIEW AVE SE ROANOKE |
$126 | $183 | $108 | $243 | $108 | — | — | — | — |
| CARILION ROANOKE MEMORIAL HOSPITAL BELLEVIEW AVE SE ROANOKE |
$126 | $183 | $108 | $243 | $108 | — | — | — | — |
| CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE |
$126 | $183 | $108 | $243 | $108 | — | — | — | — |
| CARILION ROANOKE COMMUNITY HOSPITAL ELM AVE ROANOKE |
$126 | $183 | $108 | $243 | $108 | — | — | — | — |
| CARILION ROCKBRIDGE COMMUNITY HOSPITAL HEALTH CIR LEXINGTON |
$126 | $183 | $108 | $288 | $108 | — | — | — | — |
| CARILION TAZEWELL COMMUNITY HOSPITAL BEN BOLT AVE TAZEWELL |
$126 | $183 | $108 | $229 | $108 | — | — | — | — |
| CARILION FRANKLIN MEMORIAL HOSPITAL S MAIN ST ROCKY MT |
$126 | $183 | $108 | $243 | $108 | — | — | — | — |
| CARILION NEW RIVER VALLEY MEDICAL CENTER LAMB CIRCLE CHRISTIANSBURG |
$126 | $183 | $108 | $243 | $108 | — | — | — | — |
| BUCHANAN GENERAL HOSPITAL GRUNDY |
$142 | $98.60 | $97.62 | — | $97.62 | — | — | — | $97.62 |
| UVA CULPEPER MEDICAL CENTER CULPEPER |
$144 | — | — | — | — | — | — | — | — |
| TWIN COUNTY REGIONAL HOSPITAL GALAX |
$193 | $34.20 | $50.30 | $60.50 | $102 | $9.50 | — | — | $100 |
| BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL FRANKLIN |
$202 | — | — | — | — | — | — | — | — |
| BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL KILMARNOCK |
$208 | — | — | — | — | — | — | — | — |
| INOVA LOUDOUN HOSPITAL LEESBURG |
$212 | — | — | — | — | — | — | — | — |
| INOVA MOUNT VERNON HOSPITAL ALEXANDRIA |
$212 | — | — | — | — | — | — | — | — |
| INOVA FAIRFAX HOSPITAL FALLS CHURCH |
$212 | — | — | — | — | — | — | — | — |
| INOVA FAIR OAKS HOSPITAL JOSEPH SIEWICK DRIVE FAIRFAX |
$212 | — | — | — | — | — | — | — | — |
| INOVA ALEXANDRIA HOSPITAL ALEXANDRIA |
$212 | — | — | — | — | — | — | — | — |
| UVA PRINCE WILLIAM MEDICAL CENTER MANASSAS |
$218 | — | — | — | — | — | — | — | — |
| UVA HAYMARKET MEDICAL CENTER HAYMARKET |
$218 | — | — | — | — | — | — | — | — |
| AUGUSTA HEALTH-MAIN CAMPUS FISHERSVILLE |
$250 | $101 | — | — | — | $99.61 | — | — | — |
| BON SECOURS SOUTHSIDE REGIONAL MEDICAL CENTER PETERSBURG |
$254 | — | — | — | — | — | — | — | — |
| UVA CHILDRENS LEE STREET CHARLOTTESVILLE |
$261 | — | — | — | — | — | — | — | — |
| SOVAH HEALTH MARTINSVILLE MARTINSVILLE |
$286 | $51.90 | $54.62 | $58.90 | $102 | $9.60 | — | $90.00 | $100 |
| SOVAH HEALTH DANVILLE DANVILLE |
$286 | $51.90 | $54.62 | $58.90 | $102 | $9.60 | — | $90.00 | $100 |
| FAUQUIER HOSPITAL WARRENTON |
$304 | $58.30 | $102 | $68.70 | $102 | $14.70 | — | — | $100 |
| CLINCH VALLEY MEDICAL CENTER RICHLANDS |
$305 | $51.30 | $54.90 | $58.90 | $100 | $8.20 | — | — | $100 |
| BATH COMMUNITY HOSPITAL HOT SPRINGS |
$343 | $465 | $383 | — | — | — | — | — | — |
| BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER MECHANICSVILLE |
$350 | — | — | — | — | — | — | — | — |
| BON SECOURS ST. MARY'S HOSPITAL RICHMOND |
$350 | — | — | — | — | — | — | — | — |
| BON SECOURS ST. FRANCIS MEDICAL CENTER MIDLOTHIAN |
$350 | — | — | — | — | — | — | — | — |
| BON SECOURS RICHMOND COMMUNITY HOSPITAL RICHMOND |
$350 | — | — | — | — | — | — | — | — |
| SHELTERING ARMS INSTITUTE RICHMOND |
$350 | — | — | — | — | — | — | — | — |
| VALLEY HEALTH WARREN MEMORIAL HOSPITAL FRONT ROYAL |
$358 | $70.00 | $99.61 | $150 | $99.61 | $99.61 | — | — | — |
| VALLEY HEALTH WINCHESTER MEDICAL CENTER WINCHESTER |
$358 | $70.00 | $99.61 | $150 | $102 | $99.61 | — | — | — |
| PAGE MEMORIAL HOSPITAL LURAY |
$358 | $158 | $162 | $126 | $162 | $99.61 | — | — | — |
| VALLEY HEALTH SHENANDOAH MEMORIAL HOSPITAL WOODSTOCK |
$358 | $148 | $148 | $150 | $152 | $99.61 | — | — | — |
| BON SECOURS HARBOUR VIEW MEDICAL CENTER SUFFOLK |
$365 | — | — | — | — | — | — | — | — |
| BON SECOURS MARYVIEW MEDICAL CENTER PORTSMOUTH |
$365 | — | — | — | — | — | — | — | — |
| BON SECOURS MARY IMMACULATE HOSPITAL NEWPORT NEWS |
$365 | — | — | — | — | — | — | — | — |
| BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER EMPORIA |
$444 | — | — | — | — | — | — | — | — |
| LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG |
$644 | $90.28 | $89.27 | $92.84 | $89.27 | — | $89.27 | $496 | — |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER FREDERICKSBURG |
$711 | $90.28 | $89.27 | $92.84 | $89.27 | — | $89.27 | $505 | — |
| LEWISGALE HOSPITAL PULASKI PULASKI |
$734 | $90.28 | $89.27 | $92.84 | $74.69 | — | $89.27 | $565 | — |
| RESTON HOSPITAL CENTER RESTON |
$882 | $99.71 | $98.59 | $103 | $98.59 | — | $98.59 | — | — |
| STONESPRINGS HOSPITAL CENTER DULLES |
$882 | $90.28 | $89.27 | $92.84 | $74.69 | — | $89.27 | — | — |
That is the median of what the 68 Virginia 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 Virginia, Medicare reimburses about $99.61 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Virginia range from $66.33 to $1,306 — that means hospital cash prices are typically 2.5x 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 Virginia?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in Virginia range from $66.33 to $1,306, with a median of $250. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in Virginia?
- The cheapest Virginia hospital published cash price for this procedure is $66.33. 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.