Doctor visits and therapy CPT 97165 Inpatient — admitted to hospital

Occupational therapy evaluation cost in Clinton, IA — inpatient

In Clinton, IA, 2 hospitals list a cash price for occupational therapy evaluation, low complexity as an inpatient: from $84.00 to $189.80, with a median of $136.90. The lowest listed price is at MercyOne Genesis DeWitt Medical Center — $52.90 less than the median here. Across Iowa, the median is $179.40 at 33 hospitals.

Cash prices at 2 facilities across 2 cities for code 97165, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 31, 2026 and Mar 31, 2026.

Lowest$84.00MercyOne Genesis DeWitt Medical Center
Median$136.90half pay less
Highest$189.80in this market
Difference2.3×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 Clinton, IA.

median
Lowest $84.00Highest $213.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
MercyOne Genesis DeWitt Medical Center lowest Dewitt, IA · (563) 659-4200 GHS OT EVAL =/<15 MIN, LOW KX $84.00 $140.00 $47.60–$102.20 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =/<15 MIN, LOW $87.00 $145.00 $49.30–$105.85 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =<15 MIN, LOW $87.00 $145.00 $49.30–$105.85 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =/<30 MIN, LOW KX $116.40 $194.00 $65.96–$141.62 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =<30 MIN, LOW $120.60 $201.00 $68.34–$146.73 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =/<30 MIN, LOW $120.60 $201.00 $68.34–$146.73 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =/<45 MIN, LOW KX $169.80 $283.00 $96.22–$206.59 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =/<45 MIN, LOW $175.80 $293.00 $99.62–$213.89 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =<45 MIN, LOW $175.80 $293.00 $99.62–$213.89 40% Mar 31, 2026
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MercyOne Clinton Medical Center Clinton, IA · (563) 244-5555 HC Ot Evaluation Low Complexity Patient/Family $189.80 $292.00 $72.58–$292.00 35% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =<60 MIN, LOW $213.00 $355.00 $120.70–$259.15 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =/<60 MIN, LOW KX $213.00 $355.00 $120.70–$259.15 40% Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt, IA · (563) 659-4200 GHS OT EVAL =/<60 MIN, LOW $213.00 $355.00 $120.70–$259.15 40% Mar 31, 2026
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Inpatient: lowest $84.00, median $136.90, highest $189.80 — a 2.3× difference within the same market.

As an outpatient, the same code is billed by 2 facilities here, median $138.40 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 2 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.