Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Duluth, MN

In Duluth, MN-WI, 9 hospitals list a cash price for occupational therapy evaluation, low complexity: from $143.81 to $180.61, with a median of $154.22. The lowest listed price is at Essentia Health Virginia — $10.41 less than the median here. Across Minnesota, the median is $169.23 at 51 hospitals.

Cash prices at 9 facilities across 6 cities for code 97165, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Apr 1, 2026.

Lowest$143.81Essentia Health Virginia
Median$154.22half pay less
Highest$180.61in this market
Difference1.3×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 Duluth, MN-WI.

median
Lowest $143.81Highest $180.61

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Essentia Health Virginia lowest Virginia, MN · (218) 741-3340 OCCUPATIONAL THERAPY EVAL LOW COMPLEX $143.81 $229.00 $52.67–$207.02 37% Jan 1, 2026
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Essentia Health St. Mary's Medical Center Duluth, MN · (218) 786-3574 OCCUPATIONAL THERAPY EVAL LOW COMPLEX $151.14 $229.00 $75.80–$196.94 34% Jan 1, 2026
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Essentia Health St. Mary's Children's Hospital Duluth, MN OCCUPATIONAL THERAPY EVAL LOW COMPLEX $151.14 $229.00 $75.80–$196.94 34% Jan 1, 2026
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Essentia Health Duluth Duluth, MN · (218) 786-2652 OCCUPATIONAL THERAPY EVAL LOW COMPLEX $151.14 $229.00 $75.80–$196.94 34% Jan 1, 2026
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Range Regional Health Services Hibbing, MN · (218) 362-6730 HC OT EVAL, LOW COMPLEXITY $154.22 $362.85 $76.25–$1,655.18 57% Jan 29, 2026
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Essentia Health Northern Pines Aurora, MN · (218) 229-4222 OCCUPATIONAL THERAPY EVAL LOW COMPLEX $169.23 $229.00 $87.91–$229.00 26% Jan 1, 2026
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Essentia Health Moose Lake Moose Lake, MN · (218) 786-1367 OCCUPATIONAL THERAPY EVAL LOW COMPLEX $169.23 $229.00 $91.14–$207.24 26% Jan 1, 2026
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Essentia Health St Marys Hospital-Superior Superior, WI · (715) 817-7000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX $169.23 $229.00 $73.28–$207.24 26% Jan 1, 2026
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Aspirus St. Luke’s Hospital Duluth, MN · (218) 249-2449 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $180.61 $332.00 — 46% Apr 1, 2026
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Aspirus St. Luke’s Hospital Duluth, MN · (218) 249-2449 Fac Occupational Therapy Eval Low Complex $180.61 $332.00 — 46% Apr 1, 2026
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Outpatient: lowest $143.81, median $154.22, highest $180.61 — a 1.3× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $154.70. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 8 of 8 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.