Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Mayagüez, PR

In Mayagüez, PR, 1 hospital lists a cash price for occupational therapy evaluation, low complexity: from $185.00 to $185.00, with a median of $185.00.

Cash prices at 1 facility for code 97165, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Dec 26, 2024 and Dec 26, 2024.

Lowest$185.00Hospital de la Concepcion
Median$185.00half pay less
Highest$185.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Hospital de la Concepcion San German, PR · (787) 892-1860 Ot Eval Low Complexity 30 Min $185.00 $185.00 $28.00–$101.19 — Dec 26, 2024
source file

Outpatient: lowest $185.00, median $185.00, highest $185.00.

As an inpatient, the same code is billed by 1 facility here, median $185.00. 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 the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. 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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 97165 ($213.65). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Mayaguez Medical Center Mayaguez, PRHome Instructions $11.00 file