Doctor visits and therapy CPT 97165 Inpatient — admitted to hospital

Occupational therapy evaluation cost in Boston, MA — inpatient

In Boston-Cambridge-Newton, MA-NH, 7 hospitals list a cash price for occupational therapy evaluation, low complexity as an inpatient: from $145.49 to $297.50, with a median of $208.00. The lowest listed price is at Boston Medical Center Brighton — $62.51 less than the median here. Across Massachusetts, the median is $305.75 at 16 hospitals.

Cash prices at 7 facilities across 5 cities for code 97165, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$145.49Boston Medical Center Brighton
Median$208.00half pay less
Highest$297.50in this market
Difference2.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.

median
Lowest $145.49Highest $385.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Boston Medical Center Brighton lowest Boston, MA · (617) 789-3000 HC Occupational Therapy Eval Low Complex 30 Mins $145.49 $323.30 $112.07–$475.07 55% —
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Boston Medical Center South Brockton, MA · (508) 427-3000 HC Occupational Therapy Eval Low Complex 30 Mins $157.77 $350.60 $112.07–$394.86 55% —
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Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 Hosp Occupational Therapy Eval Low Complex $192.50 $275.00 $96.25–$530.75 30% —
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Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 Hosp Occupational Therapy Eval Low Complex Telemed $192.50 $275.00 $96.25–$530.75 30% —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 Occupational Therapy Eval Low Complex 30 Mins $208.00 $208.00 $114.40–$317.95 — —
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Boston Medical Center Boston, MA · (617) 638-8000 HC Occupational Therapy Eval Low Complex 30 Mins $242.55 $539.00 $112.07–$512.54 55% —
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Lowell General Hospital Lowell, MA · (978) 937-6000 Hosp Occupational Therapy Eval Low Complex $252.70 $361.00 $126.35–$376.71 30% —
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Tufts Medical Center Boston, MA · (617) 636-5000 Hosp Occupational Therapy Eval Low Complex $297.50 $425.00 $111.61–$472.72 30% —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HB Ot - Occ Therapy Eval Low Complex $385.00 $385.00 $183.88–$385.00 — —
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Inpatient: lowest $145.49, median $208.00, highest $297.50 — a 2.0× difference within the same market.

As an outpatient, the same code is billed by 7 facilities here, median $208.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 7 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

An occupational therapy evaluation assesses daily activities and sets a plan.

What the price covers

The price is for one session or evaluation.