SelfPayRates
Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Lexington, KY

In Lexington-Fayette, KY, 10 hospitals list a cash price for occupational therapy evaluation, low complexity: from $155.49 to $387.92, with a median of $182.75. The lowest listed price is at Bourbon Community Hospital — $27.26 less than the median here. Across Kentucky, the median is $173.84 at 55 hospitals.

  • The median here, $182.75, is 11% below the US median of $204.78.
  • That is 1.8× Medicare's 2026 national rate for the same service ($100.54).
  • Lexington, KY ranks 2nd of 2 metro areas in Kentucky by median, cheapest first.
  • Every hospital here lists a cash price below its full list price.

Cash prices at 10 facilities across 6 cities for code 97165, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 9, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 30, 2026.

Lowest$155.49Bourbon Community Hospital
Median$182.75half of hospitals charge less
Highest$387.92in this market
Difference2.5×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 Lexington-Fayette, KY.

median
Lowest $155.49Highest $387.92

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Bourbon Community Hospital lowest Paris, KY · (859) 987-3600 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance File of Jul 11, 2026 · source file $155.49 $388.73 $94.40–$388.73 60%
Saint Joseph East Lexington, KY · (859) 967-5000 HC Ot Eval Low Complexity File of Sep 30, 2026 · source file $164.18 $391.00 $79.96–$259.35 58%
Continuing Care Hospital Lexington, KY HC OT EVAL LOW COMPLEXITY File of Sep 30, 2026 · source file $173.37 $391.00 $355.81–$379.27 56%
Bluegrass Community Hospital Versailles, KY · (859) 879-2300 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance File of Jul 10, 2026 · source file $175.71 $439.27 $131.78–$439.27 60%
University of Kentucky Hospital Lexington, KY · (859) 257-2278 Hc Ot Occupational Therapy Eval Low Complex 30 Minutes+2 more lines at this price File of Apr 1, 2026 · source file $179.80 $449.51 — 60%
Saint Joseph Hospital Lexington, KY · (859) 313-1000 HC Ot Eval Low Complexity File of Sep 30, 2026 · source file $185.69 $391.00 $91.73–$246.33 53%
Georgetown Community Hospital Georgetown, KY · (502) 868-1100 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance File of Jul 10, 2026 · source file $191.70 $479.24 $94.40–$479.24 60%
Saint Joseph Hospital Nicholasville, KY · (859) 313-1000 HC Ot Eval Low Complexity File of Sep 30, 2026 · source file $230.65 $430.00 $93.75–$339.70 46%
Clark Regional Medical Center Winchester, KY · (859) 737-8559 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance File of Jul 10, 2026 · source file $246.21 $615.53 $94.40–$615.53 60%
Baptist Health Lexington Lexington, KY · (859) 260-6100 Evaluation for occupational therapy, typically 30 minutes File of Sep 28, 2026 · source file $387.92 $517.23 $46.55–$1,051.53 25%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.

Outpatient: lowest $155.49, median $182.75, highest $387.92 — a 2.5× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $179.80. 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 9 of 9 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 occupational therapy evaluation is, what the price covers and why prices differ: Occupational therapy evaluation explained.