Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Kansas City, MO

In Kansas City, MO-KS, 5 hospitals list a cash price for occupational therapy evaluation, low complexity: from $97.00 to $337.12, with a median of $219.84. The lowest listed price is at St Joseph Medical Center — $122.84 less than the median here. Across Missouri, the median is $107.39 at 22 hospitals.

Cash prices at 5 facilities across 3 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 Mar 17, 2026 and Apr 1, 2026.

Lowest$97.00St Joseph Medical Center
Median$219.84half pay less
Highest$337.12in this market
Difference3.5×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 Kansas City, MO-KS.

median
Lowest $97.00Highest $337.12

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Joseph Medical Center lowest Kansas City, MO · (816) 942-4400 Hc Occup Thrp Eval, Low Complexity, 30 Min $97.00 $444.03 $50.69–$444.03 78% Mar 17, 2026
source file
Children's Mercy Hospital Kansas Overland Park, KS · (913) 696-8000 OCCUPATIONAL THERAPY, LOW COMP $219.84 $458.00 $58.55–$412.20 52% —
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Children's Mercy Hospital Kansas City, MO · (816) 234-3000 OCCUPATIONAL THERAPY, LOW COMP $219.84 $458.00 $58.55–$412.20 52% —
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AdventHealth Shawnee Mission Shawnee Mission, KS · (913) 676-2152 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $337.12 $337.12 — — Apr 1, 2026
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AdventHealth South Overland Park Overland Park, KS · (913) 373-2000 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $337.12 $337.12 — — Apr 1, 2026
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Outpatient: lowest $97.00, median $219.84, highest $337.12 — a 3.5× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $278.48. 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 3 of 3 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.