Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Green Bay, WI

In Green Bay, WI, 5 hospitals list a cash price for occupational therapy evaluation, low complexity: from $98.34 to $177.50, with a median of $98.34. The lowest listed price is at St Clare Memorial Hospital and 2 other hospitals. Across Wisconsin, the median is $177.50 at 46 hospitals.

Cash prices at 5 facilities across 2 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 Nov 21, 2025 and Jun 27, 2026.

Lowest$98.34St Clare Memorial Hospital + 2 more
Median$98.34half pay less
Highest$177.50in this market
Difference1.8×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 Green Bay, WI.

median
Lowest $98.34Highest $208.35

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Clare Memorial Hospital lowest Oconto Falls, WI · (920) 846-3444 HC OT EVAL LOW COMPLEXITY 15MIN $98.34 $149.00 $35.76–$149.00 34% —
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St Marys Hospital Medical Center lowest Green Bay, WI · (920) 498-4200 HC OT EVAL LOW COMPLEXITY 15MIN $98.34 $149.00 $62.66–$221.09 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis lowest Green Bay, WI · (920) 433-0111 HC OT EVAL LOW COMPLEXITY 15MIN $98.34 $149.00 $62.66–$221.09 34% —
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC OT EVAL LOW COMPLEXITY $99.00 $150.00 $62.66–$221.09 34% —
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC OT EVAL LOW COMPLEXITY $99.00 $150.00 $36.00–$150.00 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC OT EVAL LOW COMPLEXITY $99.00 $150.00 $62.66–$221.09 34% —
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC OT EVAL LOW COMPLEXITY 30MIN $112.86 $171.00 $62.66–$221.09 34% —
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC OT EVAL LOW COMPLEXITY 30MIN $112.86 $171.00 $41.04–$171.00 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC OT EVAL LOW COMPLEXITY 30MIN $112.86 $171.00 $62.66–$221.09 34% —
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC OT EVAL LOW COMPLEXITY 45MIN $124.74 $189.00 $62.66–$221.09 34% —
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC OT EVAL LOW COMPLEXITY 45MIN $124.74 $189.00 $45.36–$189.00 34% —
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC OT EVAL LOW COMPLEXITY 45MIN $124.74 $189.00 $62.66–$221.09 34% —
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Bellin Memorial Health Green Bay, WI · (920) 433-3500 HCHG 97165 OT EVAL, LOW COMP, PRE-DRIVER ASSESSMENT $127.79 $276.00 $71.21–$248.40 54% Jun 27, 2026
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay, WI · (920) 433-0111 HC OT EVAL LOW COMPLEXITY 60MIN $155.76 $236.00 $62.66–$236.00 34% —
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St Marys Hospital Medical Center Green Bay, WI · (920) 498-4200 HC OT EVAL LOW COMPLEXITY 60MIN $155.76 $236.00 $62.66–$236.00 34% —
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St Clare Memorial Hospital Oconto Falls, WI · (920) 846-3444 HC OT EVAL LOW COMPLEXITY 60MIN $155.76 $236.00 $56.64–$236.00 34% —
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Aurora BayCare Medical Center Green Bay, WI · (920) 288-8000 OT EVAL LOW COMPLEXITY $177.50 $355.00 $213.00–$378.00 50% Nov 21, 2025
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Bellin Memorial Health Green Bay, WI · (920) 433-3500 HCHG 97165 OT EVAL, LOW COMP, PRE-DRIVER ASSESSMENT $208.35 $450.00 $314.10–$405.00 54% Jun 27, 2026
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Outpatient: lowest $98.34, median $98.34, highest $177.50 — a 1.8× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $98.34. 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 5 of 5 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is 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.