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Evaluation for Occupational Therapy, Typically 45 Minutes Cost in West Virginia
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 30 West Virginia hospitals. CPT 97166. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $208
📉 Low $61.41
📈 High $540
🏥 30 hospitals
🏛️ 26 with insurance contracts
🇺🇸 Medicare $94.29
Hospital comparison — West Virginia
Sorted by cash price (lowest first). Showing top 30 of 30 hospitals.
Billed more than $208 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Humana | Cigna | BCBS | MultiPlan | Medicare | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| MONTGOMERY GENERAL HOSPITAL FAYETTE COUNTY |
$61.41 | $36.00 | $41.00 | $39.00 | — | — | — | $39.00 | $44.00 |
| SUMMERSVILLE REGIONAL MEDICAL CENTER SUMMERSVILLE |
$86.50 | $30.00 | $29.00 | $30.45 | $95.00 | $68.48 | $95.00 | $29.00 | — |
| SUMMERSVILLE REGIONAL MEDICAL CENTER SUMMERSVILLE |
$86.50 | $30.00 | $29.00 | $30.45 | $95.00 | $68.48 | $95.00 | $29.00 | — |
| BOONE MEMORIAL HOSPITAL MADISON |
$118 | $66.36 | — | $65.03 | $177 | — | — | $65.03 | $71.10 |
| ST JOSEPH HOSPITAL BUCKHANNON |
$121 | $32.00 | $34.88 | — | $95.00 | $81.46 | $95.00 | — | — |
| BROADDUS HOSPITAL PHILIPPI |
$128 | $71.48 | $136 | $94.29 | $75.94 | — | $171 | — | — |
| JACKSON GENERAL HOSPITAL RIPLEY |
$150 | $29.00 | $28.00 | $29.40 | $95.00 | $82.35 | $95.00 | $28.00 | — |
| CABELL HUNTINGTON HOSPITAL HUNTINGTON |
$162 | $95.14 | $94.20 | $94.20 | — | — | — | — | — |
| REYNOLDS MEMORIAL HOSPITAL GLEN DALE |
$174 | $60.00 | $94.29 | $99.00 | $92.00 | $59.69 | $95.00 | $94.29 | — |
| JEFFERSON MEDICAL CENTER RANSON |
$175 | $34.00 | $32.00 | $33.60 | $92.00 | $82.33 | $95.00 | $32.00 | — |
| POTOMAC VALLEY HOSPITAL KEYSER |
$183 | $36.00 | $34.00 | $35.70 | $90.00 | $82.69 | $95.00 | $34.00 | — |
| CAMDEN CLARK MEDICAL CENTER PARKERSBURG |
$185 | $60.00 | $90.00 | $99.00 | $90.00 | $79.05 | $95.00 | $94.29 | — |
| UNITED HOSPITAL CENTER BRIDGEPORT |
$185 | $60.00 | $94.29 | $99.00 | $92.00 | $80.12 | $95.00 | $94.29 | — |
| GREENBRIER VALLEY MEDICAL CENTER RONCEVERTE |
$188 | — | — | — | — | — | — | — | — |
| GRANT MEMORIAL HOSPITAL PETERSBURG |
$205 | $51.00 | $49.00 | $51.45 | $95.00 | $80.03 | $95.00 | $49.00 | — |
| BERKELEY MEDICAL CENTER MARTINSBURG |
$208 | $60.00 | $90.00 | $99.00 | $92.00 | $77.78 | $95.00 | $94.29 | — |
| WHEELING HOSPITAL WHEELING |
$231 | $60.00 | $94.29 | $99.00 | $92.00 | $75.00 | $95.00 | $94.29 | — |
| SUMMERS COUNTY ARH HOSPITAL SUMMERS HOSPITAL ROAD HINTON |
$232 | $84.92 | $120 | $77.97 | — | — | — | — | — |
| ROANE GENERAL HOSPITAL SPENCER |
$236 | — | — | — | — | — | — | — | — |
| WETZEL COUNTY HOSPITAL NEW MARTINSVILLE |
$240 | $60.00 | $93.74 | $99.00 | $95.00 | $56.47 | $95.00 | $94.29 | — |
| WEIRTON MEDICAL CENTER WEIRTON |
$258 | $76.31 | $94.29 | $99.00 | $92.00 | $59.74 | $95.00 | $94.29 | $61.73 |
| RALEIGH GENERAL HOSPITAL BECKLEY |
$277 | $84.00 | $79.70 | $100 | $60.20 | $100 | $95.00 | $100 | — |
| FAIRMONT MEDICAL CENTER MORGANTOWN |
$302 | $60.00 | $90.00 | $99.00 | $88.00 | $73.77 | $95.00 | $94.29 | $61.73 |
| PRINCETON COMMUNITY HOSPITAL PRINCETON |
$315 | $60.00 | $90.00 | $99.00 | — | $508 | $95.00 | $94.29 | $61.73 |
| BECKLEY ARH HOSPITAL STANDORD ROAD BECKLEY |
$338 | $95.10 | $95.10 | $95.10 | — | — | — | — | — |
| SAINT FRANCIS HOSPITAL SOUTH CHARLESTON |
$351 | $60.00 | $94.29 | $99.00 | $92.00 | $436 | $95.00 | $94.29 | — |
| HAMPSHIRE MEMORIAL HOSPITAL ROMNEY |
$358 | $184 | $184 | $189 | $150 | $182 | — | — | $184 |
| WAR MEMORIAL HOSPITAL BERKELEY SPRINGS |
$358 | $179 | $179 | $183 | $150 | $179 | — | — | $194 |
| CAMC PLATEAU MEDICAL CENTER OAK HILL |
$484 | — | — | — | — | — | — | — | — |
| CHARLESTON AREA MEDICAL CENTER GENERAL HOSPITAL CHARLESTON |
$540 | — | — | — | — | — | — | — | — |
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 $208 for this?
That is the median of what the 30 West 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 West Virginia, Medicare reimburses about $94.29 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in West Virginia range from $61.41 to $540 — that means hospital cash prices are typically 2.2x 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 West Virginia?
- Cash prices for evaluation for occupational therapy, typically 45 minutes (CPT 97166) in West Virginia range from $61.41 to $540, with a median of $208. Prices vary widely by hospital.
- Where can I find the cheapest evaluation for occupational therapy, typically 45 minutes in West Virginia?
- The cheapest West Virginia hospital published cash price for this procedure is $61.41. 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 West Virginia
Methodology. Cash prices and insurance-negotiated rates published by each West Virginia facility under federal price transparency rules (45 CFR § 180). CPT code 97166 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.