Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Los Angeles, CA

In Los Angeles-Long Beach-Anaheim, CA, 43 hospitals list a cash price for occupational therapy evaluation, low complexity: from $111.00 to $735.38, with a median of $260.00. The lowest listed price is at Encino Hospital Medical Center and 7 other hospitals — $149.00 less than the median here. Across California, the median is $260.00 at 135 hospitals.

  • The median here, $260.00, is 27% above the US median of $204.68.
  • That is 2.6× Medicare's 2026 national rate for the same service ($100.54).
  • Los Angeles, CA ranks 3rd of 4 metro areas in California by median, cheapest first.
  • 10 of 43 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 43 facilities across 34 cities for code 97165, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Nov 26, 2025 and Oct 5, 2026.

Lowest$111.00Encino Hospital Medical Center + 7 more
Median$260.00half of hospitals charge less
Highest$735.38in this market
Difference6.6×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 Los Angeles-Long Beach-Anaheim, CA.

median
Lowest $111.00Highest $735.38

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Encino Hospital Medical Center lowest Encino, CA · (818) 995-5000 OT EVAL LOW COMPLEX 30 MIN+9 more lines at this price File of Sep 1, 2026 · source file $111.00 $350.60 $64.50–$1,170.00 68%
West Anaheim Medical Center lowest Anaheim, CA · (714) 827-3000 Hc Occup Thrp Eval, Low Complexity, 30 Min File of Sep 1, 2026 · source file $111.00 $661.25 $111.46–$661.25 83%
St Francis Medical Center lowest Lynwood, CA · (310) 900-8900 Hc Occup Thrp Eval, Low Complexity, 30 Min - 97165 - 43400010 File of Sep 1, 2026 · source file $111.00 $341.35 $102.41–$307.22 67%
San Dimas Community Hospital lowest San Dimas, CA · (909) 599-6811 Hc Occup Thrp Eval, Low Complexity, 30 Min File of Sep 1, 2026 · source file $111.00 $499.95 $105.89–$499.95 78%
La Palma Intercommunity Hospital lowest La Palma, CA · (714) 670-7400 Hc Occup Thrp Eval, Low Complexity, 30 Min File of Sep 1, 2026 · source file $111.00 $661.25 $111.46–$661.25 83%
Centinela Hospital Medical Center lowest Inglewood, CA · (310) 673-4660 OT EVAL LOW COMPLEX 30 MIN+2 more lines at this price File of Sep 1, 2026 · source file $111.00 $350.60 $47.04–$350.60 68%
Sherman Oaks Hospital lowest Sherman Oaks, CA · (818) 981-7111 OT EVAL LOW COMPLEX+3 more lines at this price File of Sep 1, 2026 · source file $111.00 $433.00 $32.70–$433.00 74%
Garden Grove Hospital Medical Center lowest Garden Grove, CA · (714) 537-5160 Hc Occup Thrp Eval, Low Complexity, 30 Min File of Sep 1, 2026 · source file $111.00 $661.25 $111.46–$661.25 83%
Providence St Joseph Hospital Orange Orange, CA · (714) 633-9111 HC CRISIS TELEH 97165 OT EVALUATION LOW COMPLEX CDM+2 more lines at this price File of Apr 1, 2026 · source file $140.16 $292.00 — 52%
UCI Health - Fountain Valley Orange, CA · (714) 966-7200 OT EVAL LOW COMP File of Apr 1, 2026 · source file $146.80 $367.00 — 60%
UCI Health - Los Alamitos Orange, CA · (562) 799-3220 OT EVAL LOW COMP File of Apr 1, 2026 · source file $146.80 $367.00 — 60%
Casa Colina Hospital and Centers for Healthcare Pomona, CA · (909) 596-7733 Evaluation for occupational therapy, typically 30 minutes File of Oct 5, 2026 · source file $160.00 $337.62 $111.46–$1,700.00 53%
USC Arcadia Hospital Arcadia, CA · (626) 898-8000 O.T. EVALUATION 30 MIN+2 more lines at this price File of Jul 27, 2026 · source file $163.80 $468.00 $107.00–$468.00 65%
Providence Cedars Sinai Tarzana Medical Center Tarzana, CA · (818) 881-0800 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM File of Apr 1, 2026 · source file $187.25 $535.00 — 65%
Mission Hospital Regional Med Center Mission Viejo, CA · (949) 364-1400 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM File of Apr 1, 2026 · source file $188.16 $392.00 — 52%
Saint John's Health Center Santa Monica, CA · (310) 829-5511 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM+1 more line at this price File of Apr 1, 2026 · source file $194.95 $557.00 — 65%
Mission Hospital Regional Med Center Mission Viejo, CA · (949) 364-1400 HC OT EVALUATION LOW COMPLEX+1 more line at this price File of Apr 1, 2026 · source file $196.32 $409.00 — 52%
Providence Holy Cross Medical Center Mission Hills, CA · (818) 365-8051 HC OT EVALUATION LOW COMPLEX+2 more lines at this price File of Apr 1, 2026 · source file $214.20 $612.00 — 65%
Providence Cedars Sinai Tarzana Medical Center Tarzana, CA · (818) 881-0800 HC OT EVALUATION LOW COMPLEX File of Apr 1, 2026 · source file $234.15 $669.00 — 65%
Providence Little Co of Mary Medical Center San Pedro San Pedro, CA · (310) 832-3311 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM File of Apr 1, 2026 · source file $243.95 $697.00 — 65%
Providence Little Company of Mary Medical Center Torrance Torrance, CA · (310) 540-7676 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM File of Apr 1, 2026 · source file $243.95 $697.00 — 65%
UCI Health - Lakewood Orange, CA · (562) 602-6751 OT EVAL LOW COMP File of Apr 1, 2026 · source file $251.20 $628.00 — 60%
Pacifica Hospital of the Valley Sun Valley, CA · (818) 767-3310 Evaluation-low Complexity source file $253.00 $253.00 $89.00–$253.00 —
Providence Little Co of Mary Medical Center San Pedro San Pedro, CA · (310) 832-3311 HC CRISIS TELEH 97165 OT EVALUATION LOW COMPLEX CDM+1 more line at this price File of Apr 1, 2026 · source file $258.65 $739.00 — 65%
Providence Little Company of Mary Medical Center Torrance Torrance, CA · (310) 540-7676 HC OT EVALUATION LOW COMPLEX+1 more line at this price File of Apr 1, 2026 · source file $258.65 $739.00 — 65%
Kaiser Foundation Hospital - Orange County - Anaheim Anaheim, CA · (714) 279-4000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Apr 1, 2026 · source file $260.00 $500.00 — 48%
Kaiser Foundation Hospital - Woodland Hills Woodland Hills, CA · (818) 719-3800 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Apr 1, 2026 · source file $260.00 $500.00 — 48%
Kaiser Foundation Hospital - West LA Los Angeles, CA · (213) 857-2201 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Apr 1, 2026 · source file $260.00 $500.00 — 48%
Kaiser Fnd Hospital - Irvine Irvine, CA · (714) 279-4000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Apr 1, 2026 · source file $260.00 $500.00 — 48%
Kaiser Foundation Hospital - South Bay Harbor City, CA · (310) 325-5111 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Apr 1, 2026 · source file $260.00 $500.00 — 48%
Kaiser Foundation Hospital - Downey Downey, CA · (562) 461-6007 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Apr 1, 2026 · source file $260.00 $500.00 — 48%
Kaiser Foundation Hospital - Los Angeles Los Angeles, CA · (323) 783-4011 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Apr 1, 2026 · source file $260.00 $500.00 — 48%
Kaiser Foundation Hospital - Panorama City Panorama City, CA · (818) 375-2000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Apr 1, 2026 · source file $260.00 $500.00 — 48%
Kaiser Foundation Hospital - Baldwin Park Baldwin Park, CA · (626) 851-1011 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Apr 1, 2026 · source file $260.00 $500.00 — 48%
Providence Saint Joseph Medical Center Burbank, CA · (818) 843-5111 HC CRISIS TELEH 97165 OT EVALUATION LOW COMPLEX CDM+2 more lines at this price File of Apr 1, 2026 · source file $279.65 $799.00 — 65%
St Jude Hospital Fullerton, CA · (714) 992-3000 HC OT EVALUATION LOW COMPLEX+1 more line at this price File of Apr 1, 2026 · source file $317.76 $662.00 — 52%
St Jude Hospital Fullerton, CA · (714) 992-3000 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM File of Apr 1, 2026 · source file $334.56 $697.00 — 52%
Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 OT EVAL LOW COMPLEXITY 15 File of Jul 9, 2026 · source file $336.00 $336.00 $84.00–$302.40 —
Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 OT EVAL LOW COMPLEXITY 30 File of Jul 9, 2026 · source file $366.00 $366.00 $91.50–$329.40 —
Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 OT EVAL LOW COMPLEXITY VRC File of Jul 9, 2026 · source file $389.00 $389.00 $97.25–$350.10 —
Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 OT EVAL LOW COMPLEXITY 45 File of Jul 9, 2026 · source file $397.00 $397.00 $99.25–$357.30 —
Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 OT EVAL LOW COMPLEXITY 60+1 more line at this price File of Jul 9, 2026 · source file $427.00 $427.00 $106.75–$384.30 —
Foothill Regional Medical Center Tustin, CA · (714) 619-7700 OT EVAL LOW COMPLEX 30 MIN File of Mar 18, 2026 · source file $427.10 $427.10 $167.19 —
Los Angeles Community Hospital Los Angeles, CA · (323) 267-0477 OT EVAL LOW COMPLEX 30 MIN File of Mar 18, 2026 · source file $427.10 $427.10 $5.05–$367.31 —
Catalina Island Medical Center Avalon, CA · (310) 510-0700 Evaluation for occupational therapy, typically 30 minutes File of Jul 20, 2026 · source file $490.76 $701.09 $105.89–$806.25 30%
East Los Angeles Doctors Hospital Los Angeles, CA · (323) 268-5514 OCCPTNL THERAPY EVALUATION LOW CMPLXTY File of Feb 4, 2026 · source file $511.35 $511.35 $89.89–$409.08 —
Memorial Hospital of Gardena Gardena, CA · (310) 532-4200 OCCPTNL THERAPY EVALUATION LOW CMPLXTY File of Feb 4, 2026 · source file $511.35 $511.35 $89.89–$409.08 —
Community Hospital of Huntington Park Huntington Park, CA · (323) 583-1931 OCCPTNL THERAPY EVALUATION LOW CMPLXTY File of Feb 4, 2026 · source file $511.35 $511.35 $89.89–$409.08 —
Coast Plaza Doctors Hospital Norwalk, CA · (310) 532-4200 OCCPTNL THERAPY EVALUATION LOW CMPLXTY File of Feb 4, 2026 · source file $511.35 $511.35 $89.89–$409.08 —
Southern California Hospital at Hollywood Hollywood, CA · (323) 462-2271 OT EVAL LOW COMPLEX 30 MIN File of Mar 18, 2026 · source file $597.47 $597.47 $167.19 —
Childrens Hospital at Mission - Cerner Mission Viejo, CA · (949) 365-2408 OT EVALUATION LOW COMPLEXITY 98087646 File of Mar 18, 2026 · source file $640.00 $640.00 $111.89–$824.00 —
Cedars-Sinai Medical Center Los Angeles, CA · (310) 423-5000 HB OT EVAL LOW COMPLEXITY File of Nov 26, 2025 · source file $735.38 $1,131.36 — 35%
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.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $111.00, median $260.00, highest $735.38 — a 6.6× difference within the same market.

As an inpatient, the same code is billed by 33 facilities here, median $260.00. 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 12 of 21 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 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.