What does code 97165 cost?

Across the published hospital price files, the disclosed cash price for 97165 ranges from $37.50 to $684. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

97165 is the billing code hospitals use to identify "HC OT EVAL LOW COMPLEXITY" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

97165

HCPCS

HC OT EVAL LOW COMPLEXITY

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 97165 (HC OT EVAL LOW COMPLEXITY) appears at 48 hospitals with disclosed cash prices from $37.50 to $684. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

111

Cash

111

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 97165 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 97165 vary by about 18× across the 46 hospitals with disclosed prices here — from $37.50 to $684. Shopping around can matter.

Hospitals

115

Prices shown

$37.50

Lowest cash

$684

Highest cash

code 97165 cash price111 disclosed · 46 hospitals

$37.50median ~$218$684

Lowest cash price by hospital

Advocate Illinois Masonic Medical Center$37.50
Advocate Condell Medical Center$37.50
Advocate Good Samaritan Hospital$37.50
The Women's Hospital$54.28
Advocate South Suburban Hospital$82.50
Stanford Health Care Tri-Valley$84.00

Cash price by city

Reflects your current filters.

Cash price by city$37.50 – $434

Chicago · 2 hospitals$37.50–$327
Libertyville · 1 hospital$37.50–$82.50
Downers Grove · 1 hospital$37.50
Newburgh · 1 hospital$54.28–$434
Hazel Crest · 1 hospital$82.50–$223
Pleasanton · 1 hospital$84.00–$233

115 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC OT EVAL LOW COMPLEXITY Inpatient & outpatient	Endeavor Health Edward Hospital	97165 HCPCS	$684	$684	—	—
Ot eval low complex 30 min Outpatient	Endeavor Health Edward Hospital	97165 HCPCS	—	—	$102 – $172	—
Hc Occupational Therapy Evaluation Low Complex 30 Min Inpatient & outpatient	University of Chicago Medical Center	97165 HCPCS	—	—	—	—
Ot eval low complex 30 min Outpatient	University of Chicago Medical Center	97165 HCPCS	—	—	—	—
OT EVAL LOW COMPLEXITY Outpatient	Advocate Illinois Masonic Medical Center	97165 CPT	$445	$223	$150 – $469	$126
PEDS OT EVAL LOW COMP/15 PA ONLY Outpatient	Advocate Illinois Masonic Medical Center	97165 CPT	$75.00	$37.50	$29.55 – $469	$126
PEDS OT EVAL LOW COMPLEXITY Outpatient	Advocate Illinois Masonic Medical Center	97165 CPT	$445	$223	$150 – $469	$126
HB OT EVALUATION LOW COMPLEX 30 MINS Inpatient & outpatient	Endeavor Health Swedish Hospital	97165 HCPCS	$327	$327	—	—
OT EVAL LOW COMP PER 15 PA ONLY Outpatient	Advocate Condell Medical Center	97165 CPT	$165	$82.50	$65.01 – $295	—
PEDS OT EVAL LOW COMP/15 PA ONLY Outpatient	Advocate Condell Medical Center	97165 CPT	$75.00	$37.50	$29.55 – $295	—
PEDS OT EVAL LOW COMP/15 PA ONLY Outpatient	Advocate Good Samaritan Hospital	97165 CPT	$75.00	$37.50	$29.55 – $469	—
OT EVAL LOW COMPLEXITY Outpatient	Advocate South Suburban Hospital	97165 CPT	$445	$223	$150 – $469	—
OT EVAL LOW COMP PER 15 PA ONLY Outpatient	Advocate South Suburban Hospital	97165 CPT	$165	$82.50	$65.01 – $469	—
HC OCCUPATIONAL THERAPY EVALUATION, LOW COMPLEXITY Outpatient	Froedtert Hospital	97165 CPT	$369	$203	$97.60 – $384	$233
HC TELEHEALTH OCCUPATIONAL THERAPY EVALUATION, LOW COMPLEXITY Outpatient	Froedtert Hospital	97165 CPT	$276	$152	$82.80 – $384	$233
HC OCCUPATIONAL THERAPY EVALUATION, LOW COMPLEXITY Outpatient	Froedtert Menomonee Falls Hospital	97165 CPT	$427	$235	$97.60 – $384	—
HC TELEHEALTH OCCUPATIONAL THERAPY EVALUATION, LOW COMPLEXITY Outpatient	Froedtert Menomonee Falls Hospital	97165 CPT	$411	$226	$97.60 – $370	—
OT EVAL LOW COMPLEXITY Inpatient	Aurora BayCare Medical Center	97165 CPT	$355	$178	$213 – $302	—
OT EVAL LOW COMPLEXITY Inpatient	Aurora Medical Center Burlington	97165 CPT	$355	$178	$213 – $302	—
97165 OT EVAL OP 30 MIN OT IP Inpatient	Munson Healthcare Charlevoix Hospital	97165 CPT	$194	$165	$155 – $194	—
Low Complexity Evaluation - OT Untimed Charges Inpatient	Munson Healthcare Charlevoix Hospital	97165 CPT	$194	$165	$155 – $194	—
OT Eval OP 30 Min - OT Inpatient	Munson Healthcare Charlevoix Hospital	97165 CPT	$194	$165	$155 – $194	—
OT 97165 OT EVAL LOW COMPLEX 30 M OP Inpatient	Munson Healthcare Charlevoix Hospital	97165 CPT	$194	$165	$155 – $194	—
OT EVAL LOW COMPLEX 30 MIN IP Inpatient	Munson Healthcare Charlevoix Hospital	97165 CPT	$194	$165	$155 – $194	—
OT EVAL OP 30 MIN Inpatient	Munson Healthcare Charlevoix Hospital	97165 CPT	$194	$165	$155 – $194	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 97165 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Advocate Illinois Masonic Medical Center Endeavor Health Swedish Hospital Advocate Condell Medical Center Advocate Good Samaritan Hospital Advocate South Suburban Hospital Froedtert Hospital Froedtert Menomonee Falls Hospital Aurora BayCare Medical Center Aurora Medical Center Burlington Munson Healthcare Charlevoix Hospital Munson Healthcare Manistee Hospital Aurora Medical Center Bay Area Aurora Medical Center Fond du Lac Aurora Medical Center Grafton Aurora Medical Center Kenosha Aurora Lakeland Medical Center Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Froedtert Community Hospital - Mequon Kalkaska Memorial Health Center Paul Oliver Memorial Hospital Munson Healthcare Grayling Munson Healthcare Cadillac Henderson Hospital Deaconess Gibson Hospital Deaconess Union County Hospital The Women's Hospital Deaconess Illinois Medical Center Community Hospital of Bremen Three Rivers Health Providence Alaska Medical Center Providence Kodiak Island Medical Center Stanford Health Care Stanford Health Care Tri-Valley Providence Seward Hospital Providence Valdez Medical Center St Elias Specialty Hospital Healdsburg Hospital Providence Cedars-Sinai Tarzana Medical Center Providence Holy Cross Medical Center Providence Little Co of Mary Med Center San Pedro Providence Little Company of Mary Med Center Torrance Providence Saint John's Health Center Providence Saint Joseph Medical Center Providence St Joseph Medical Center Jefferson Abington Hospital

Code 97165: frequently asked

What does code 97165 cost?: Across the published hospital price files, the disclosed cash price for 97165 ranges from $37.50 to $684. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 97165?: 97165 is the billing code hospitals use to identify "HC OT EVAL LOW COMPLEXITY" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data