Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 17 hospitals list a cash price for occupational therapy evaluation, low complexity: from $69.56 to $1,042.41, with a median of $232.40. The lowest listed price is at Saint Thomas West Hospital and 1 other hospital — $162.84 less than the median here. Across Tennessee, the median is $142.94 at 64 hospitals.

  • The median here, $232.40, is 13% above the US median of $204.78.
  • That is 2.3× Medicare's 2026 national rate for the same service ($100.54).
  • Nashville, TN ranks 2nd of 2 metro areas in Tennessee by median, cheapest first.
  • 8 of 17 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 17 facilities across 15 cities for code 97165, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 1, 2026.

Lowest$69.56Saint Thomas West Hospital + 1 more
Median$232.40half of hospitals charge less
Highest$1,042.41in this market
Difference15.0×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $69.56Highest $1,042.41

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Saint Thomas West Hospital lowest Harding Pk Nashville, TN · (615) 222-2111 OT EVALUATION LOW COMPLEXITY+1 more line at this price File of Jan 1, 2026 · source file $69.56 $231.85 $64.77–$200.72 70%
Saint Thomas Rutherford Hospital lowest Murfreesboro, TN · (615) 396-4100 BD OT EVAL LOW COMPLEXITY+3 more lines at this price File of Jan 1, 2026 · source file $69.56 $231.85 $64.77–$200.72 70%
Sumner Regional Medical Center Gallatin, TN · (615) 328-8888 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 $122.02 $523.67 $221.00 77%
Stones River Hospital Woodbury, TN · (615) 563-4001 OT EVALUATION LOW COMPLEXITY+1 more line at this price File of Jul 1, 2026 · source file $129.60 $432.00 $64.77–$170.98 70%
Williamson Medical Center Franklin, TN · (615) 435-5000 OT EVAL LOW COMPLEXITY File of Aug 1, 2026 · source file $137.86 $244.50 $98.53–$232.27 44%
Vanderbilt Wilson County Hospital Lebanon, TN · (615) 444-2250 HC OT EVAL LOW COMPLEX 30 MIN File of Oct 1, 2026 · source file $144.13 $497.00 — 71%
Riverview Regional Medical Center Carthage, TN · (615) 735-9815 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 $149.31 $458.01 $73.28–$458.01 67%
Metro Nashville General Hospital Nashville, TN · (615) 341-4000 OT Evaluation Low Complexity Time File of Sep 1, 2026 · source file $198.00 $330.00 — 40%
Trousdale Medical Center Hartsville, TN · (615) 374-2221 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 $232.40 $458.38 $88.00 49%
Tristar Hendersonville Medical Center Hendersonville, TN · (615) 338-1000 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 File of Sep 1, 2026 · source file $329.78 $329.78 $206.79 —
Tristar Summit Medical Center Mt Juliet, TN · (615) 316-3000 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 File of Sep 1, 2026 · source file $441.81 $441.81 $206.79 —
Tristar Skyline Medical Center Nashville, TN · (615) 769-2000 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 File of Sep 1, 2026 · source file $570.71 $570.71 $206.79 —
Tristar Southern Hills Medical Center Antioch, TN · (615) 781-4000 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 File of Sep 1, 2026 · source file $717.62 $717.62 $206.79 —
Tristar Centennial Medical Center Nashville, TN · (615) 342-1000 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 File of Sep 1, 2026 · source file $758.07 $758.07 $206.79 —
Tristar Northcrest Medical Center Springfield, TN · (615) 384-2411 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 File of Sep 1, 2026 · source file $823.81 $823.81 $206.79 —
Tristar Horizon Medical Center Dickson, TN · (615) 446-0446 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 File of Sep 1, 2026 · source file $938.23 $938.23 $206.79 —
Tristar Stonecrest Medical Center Smyrna, TN · (615) 768-2000 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 File of Sep 1, 2026 · source file $1,042.41 $1,042.41 $206.79 —
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.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
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 $69.56, median $232.40, highest $1,042.41 — a 15.0× difference within the same market.

As an inpatient, the same code is billed by 6 facilities here, median $133.73. 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 6 of 15 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.