Occupational therapy evaluation cost in Milwaukee, WI
In Milwaukee-Waukesha, WI, 11 hospitals list a cash price for occupational therapy evaluation, low complexity: from $127.73 to $177.50, with a median of $177.50. The lowest listed price is at Columbia St. Mary's Hospital Milwaukee and 1 other hospital — $49.77 less than the median here. Across Wisconsin, the median is $177.50 at 46 hospitals.
Cash prices at 11 facilities across 8 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 Nov 21, 2025 and Mar 23, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Milwaukee-Waukesha, WI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Columbia St. Mary's Hospital Milwaukee lowest Milwaukee, WI · (414) 585-1374 HC OT EVAL LOW COMPLEX | $127.73 | $241.00 | $110.91 | 47% | — source file |
| Columbia St. Mary's Hospital Ozaukee lowest Mequon, WI HC OT EVAL LOW COMPLEX | $127.73 | $241.00 | $110.91 | 47% | — source file |
| Children's Hospital of Wisconsin Milwaukee, WI · (414) 266-3954 HBC OT EVALUATION LOW COMPLEXITY | $170.50 | $310.00 | $217.00–$294.50 | 45% | Mar 23, 2026 source file |
| Children's Hospital of Wisconsin Milwaukee, WI · (414) 266-3954 HBC OT EVALUATION LOW COMPLEXITY | $170.50 | $310.00 | $217.00–$294.50 | 45% | Mar 23, 2026 source file |
| Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI OT EVAL LOW COMPLEXITY | $177.50 | $355.00 | $213.00–$378.00 | 50% | Nov 21, 2025 source file |
| Aurora St Lukes Medical Center of Aurora Health Care Metro Milwaukee, WI · (414) 649-6000 OT EVAL LOW COMPLEXITY | $177.50 | $355.00 | $213.00–$378.00 | 50% | Nov 21, 2025 source file |
| Aurora St Lukes South Shore of Aurora Health Care Metro Cudahy, WI OT EVAL LOW COMPLEXITY | $177.50 | $355.00 | $213.00–$378.00 | 50% | Nov 21, 2025 source file |
| Aurora Medical Center Summit Summit, WI · (262) 434-1600 OT EVAL LOW COMPLEXITY | $177.50 | $355.00 | $213.00–$378.00 | 50% | Nov 21, 2025 source file |
| Aurora West Allis Medical Center West Allis, WI · (414) 328-6000 OT EVAL LOW COMPLEXITY | $177.50 | $355.00 | $213.00–$378.00 | 50% | Nov 21, 2025 source file |
| Aurora Medical Center Grafton Grafton, WI · (262) 329-1000 OT EVAL LOW COMPLEXITY | $177.50 | $355.00 | $213.00–$378.00 | 50% | Nov 21, 2025 source file |
| Aurora Medical Center Washington County Hartford, WI · (262) 673-2300 OT EVAL LOW COMPLEXITY | $177.50 | $355.00 | $213.00–$378.00 | 50% | Nov 21, 2025 source file |
| Aurora Medical Center Kenosha Kenosha, WI · (262) 948-5600 OT EVAL LOW COMPLEXITY | $177.50 | $355.00 | $213.00–$378.00 | 50% | Nov 21, 2025 source file |
Outpatient: lowest $127.73, median $177.50, highest $177.50 — a 1.4× difference within the same market.
As an inpatient, the same code is billed by 9 facilities here, median $177.50. 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 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 9 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 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.