Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Lancaster, PA

In Lancaster, PA, 2 hospitals list a cash price for occupational therapy evaluation, low complexity: from $181.48 to $335.20, with a median of $258.34. The lowest listed price is at Penn State Health Lancaster Medical Center — $76.86 less than the median here. Across Pennsylvania, the median is $261.25 at 28 hospitals.

Cash prices at 2 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 — and —.

Lowest$181.48Penn State Health Lancaster Medical Center
Median$258.34half pay less
Highest$335.20in 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 Lancaster, PA.

median
Lowest $181.48Highest $335.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Penn State Health Lancaster Medical Center lowest Lancaster, PA · (223) 287-9000 97165 TELE OT EVAL LOW COMPLEX 30 MIN Tech $181.48 $626.00 $82.45–$500.80 71% —
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Penn State Health Lancaster Medical Center lowest Lancaster, PA · (223) 287-9000 97165 OT INITIAL EVAL LOW Tech $181.48 $626.00 $82.45–$500.80 71% —
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Penn State Health Lancaster Medical Center lowest Lancaster, PA · (223) 287-9000 97165 OT EVAL LOW COMPLEX 30 MIN Tech $181.48 $626.00 $82.45–$500.80 71% —
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Ephrata Community Hospital Ephrata, PA · (717) 733-0311 Evaluation for Occupational Therapy, Typically 30 Minutes $335.20 $419.00 $56.80–$444.31 20% —
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Outpatient: lowest $181.48, median $258.34, highest $335.20 — a 1.8× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $258.34. 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 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.