Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 43 hospitals list a cash price for occupational therapy evaluation, low complexity: from $111.00 to $1,044.00, with a median of $128.99. The lowest listed price is at Saint Marys Hospital — $17.99 less than the median here. Across New York, the median is $182.58 at 52 hospitals.

Cash prices at 43 facilities across 32 cities for code 97165, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 25, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Sep 5, 2026.

Lowest$111.00Saint Marys Hospital
Median$128.99half pay less
Highest$1,044.00in this market
Difference9.4×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $111.00Highest $17,864.61

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Saint Marys Hospital lowest Passaic, NJ · (973) 365-4300 Hc Occup Thrp Eval, Low Complexity, 30 Min $111.00 $403.00 $76.93–$403.00 72% Sep 1, 2026
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New York City Health and Hospitals New York, NY PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $111.92 $281.00 $47.55 60% Sep 5, 2026
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New York City Health and Hospitals Jamaica, NY PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $112.85 $284.00 $47.55 60% Sep 5, 2026
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New York City Health and Hospitals New York, NY HC OT EVAL LOW COMPLEX 30 MIN $112.90 $501.28 $112.90–$325.82 77% Sep 5, 2026
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NYC New York City Health and Hospitals New York, NY HC OT EVAL LOW COMPLEX 30 MIN $112.90 $501.28 $114.91–$324.78 77% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $113.33 $285.00 $47.55 60% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $113.33 $285.00 $47.55 60% Sep 5, 2026
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St. Barnabas Hospital Bronx, NY · (212) 960-9000 PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $113.57 $407.96 $80.44–$258.55 72% Feb 27, 2026
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New York City Health and Hospitals Jamaica, NY HC OT EVAL LOW COMPLEX 30 MIN $114.08 $501.28 $114.08–$326.87 77% Sep 5, 2026
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New York City Health and Hospitals Broadway Elmhurst, NY HC OT EVAL LOW COMPLEX 30 MIN $114.08 $501.28 $114.08–$322.69 77% Sep 5, 2026
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New York City Health and Hospitals New York, NY HC OT EVAL LOW COMPLEX 30 MIN $114.91 $501.28 $112.90–$324.78 77% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC OT EVAL LOW COMPLEX 30 MIN $114.91 $501.28 $114.91–$321.64 77% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC OT EVAL LOW COMPLEX 30 MIN $114.91 $501.28 $114.91–$324.78 77% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC OT EVAL LOW COMPLEX 30 MIN $114.91 $501.28 $114.91–$325.82 77% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC OT EVAL LOW COMPLEX 30 MIN $114.91 $501.28 $114.91–$324.78 77% Sep 5, 2026
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Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC OT EVAL LOW COMPLEX 30 MIN $114.91 $501.28 $114.91–$324.78 77% Sep 5, 2026
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Jacobi Medical Center Bronx, NY · (718) 918-5000 HC OT EVAL LOW COMPLEX 30 MIN $114.91 $501.28 $114.91–$321.64 77% Sep 5, 2026
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Occ Therapy Low Complex $124.23 $466.00 — 73% —
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Occ Therapy Low Complex $124.23 $410.00 — 70% —
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Newton Medical Center Newton, NJ · (973) 383-2121 Eval Occ Therapy Low Complex $124.23 $1,125.00 — 89% —
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Eval Occ Therapy Low Complex $124.23 $854.00 — 85% —
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Overlook Medical Center Summit, NJ · (908) 522-2000 Eval Occ Therapy Low Complex $124.23 $748.00 — 83% —
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Hmh Hospitals Edison, NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $451.00 $81.18–$446.04 71% Dec 31, 2025
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Hmh Hospitals Edison, NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $451.00 $72.61–$434.13 71% Dec 31, 2025
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Ocean Medical Center Brick, NJ · (732) 840-2200 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 $61.77–$423.34 70% Dec 31, 2025
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Ocean Medical Center Brick, NJ · (732) 840-2200 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $451.00 $81.18–$446.04 71% Dec 31, 2025
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Bayshore Medical Center Holmdel, NJ · (732) 739-5900 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 $60.00–$154.79 70% Dec 31, 2025
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Hmh Hospitals Old Bridge, NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 $90.00–$517.00 70% Dec 31, 2025
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Hackensack University Medical Center Hackensack, NJ · (551) 996-2000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $451.00 $81.18–$451.00 71% Dec 31, 2025
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Hmh Hospitals Red Bank, NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 $61.34–$426.08 70% Dec 31, 2025
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Palisades Medical Center North Bergen, NJ · (201) 854-5000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 $74.39–$415.99 70% Dec 31, 2025
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Raritan Bay Medical Center Perth Amboy, NJ · (732) 324-5000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 $90.00–$517.00 70% Dec 31, 2025
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Hmh Hospitals Neptune City, NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $451.00 $74.87–$451.00 71% Dec 31, 2025
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Southern Ocean Medical Center Manahawkin, NJ · (609) 597-6011 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 $78.30–$427.87 70% Dec 31, 2025
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Englewood Health Englewood, NJ · (201) 894-3000 Occupational Therapy Eval Low Complex 30 Mins $161.10 $1,611.00 $117.76–$1,288.80 90% Feb 2, 2026
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NYU Langone New York, NY · (212) 263-7300 HC OT EVAL LOW COMPLEX GO $171.15 $900.80 $103.42–$900.80 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 HC OT EVAL LOW COMPLEX GO $171.15 $900.80 $103.42–$900.80 81% Jan 1, 2026
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NYU Langone Hospital?Suffolk Patchogue, NY HC OT EVAL LOW COMPLEX GO $171.15 $900.80 $103.42–$900.80 81% Jan 1, 2026
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NYU Langone Brooklyn, NY HC OT EVAL LOW COMPLEX GO $171.15 $900.80 $103.42–$900.80 81% Jan 1, 2026
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NYU Langone Mineola, NY HC OT EVAL LOW COMPLEX GO $171.15 $900.80 $103.42–$900.80 81% Jan 1, 2026
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Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 OT EVAL LOW COMPLEX 30 MIN $200.00 $200.00 $35.00–$1,912.00 — —
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Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 OT EVAL LOW COMPLEX 30 MIN $200.00 $200.00 $35.00–$1,912.00 — —
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Ot Eval Low Complex 30 Min $268.10 $383.00 $65.00–$383.00 30% Oct 28, 2025
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Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 OT EVAL LOW COMPLEX 30 MIN $317.00 $317.00 $113.33–$4,255.00 — —
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The Valley Hospital Paramus, NJ · (201) 447-8000 OT - OT EVAL LOW COMPLEX $325.80 $543.00 $60.00–$583.00 40% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Occ Therapy Low Complex $334.65 $2,136.00 — 84% —
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The Valley Hospital Paramus, NJ · (201) 447-8000 OT EVAL LOW COMPLEX $367.80 $613.00 $60.00–$583.00 40% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Occ Therapy Low Complex $397.71 $2,796.00 — 86% —
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 OT EVAL; LOW COMPLEXITY $494.00 $494.00 — — Apr 1, 2026
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Occ Therapy Low Complex $500.95 $3,459.00 — 86% —
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Mount Sinai Behavioral Health Center New York, NY HC Ot Eval Low Complex 30 Min $558.00 $620.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Ot Eval Low Complex 30 Min $558.00 $620.00 — 10% Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Ot Eval Low Complex 30 Min $558.00 $620.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY HC Ot Eval Low Complex 30 Min $558.00 $620.00 — 10% Apr 1, 2026
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Mount Sinai Queens Long Island, NY HC Ot Eval Low Complex 30 Min $558.00 $620.00 — 10% Apr 1, 2026
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Newton Medical Center Newton, NJ · (973) 383-2121 Eval Occ Therapy Low Complex $715.56 $5,051.00 — 86% —
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Memorial Hospital for Cancer and Allied Diseases Montvale, NJ HC Ot Occupational Therapy Eval Low Complex 30 Mins $1,044.00 $1,044.00 $387.00–$939.60 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HC Ot Occupational Therapy Eval Low Complex 30 Mins $1,044.00 $1,044.00 $387.00–$939.60 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Floor Hauppauge, NY HC Ot Occupational Therapy Eval Low Complex 30 Mins $1,044.00 $1,044.00 $157.25–$939.60 — Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Brooklyn, NY HC Ot Occupational Therapy Eval Low Complex 30 Mins $1,044.00 $1,044.00 $157.25–$939.60 — Dec 1, 2025
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Eval Occ Therapy Low Complex $17,385.21 $48,483.66 — 64% —
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Overlook Medical Center Summit, NJ · (908) 522-2000 Eval Occ Therapy Low Complex $17,864.61 $63,307.76 — 72% —
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Outpatient: lowest $111.00, median $128.99, highest $1,044.00 — a 9.4× difference within the same market.

As an inpatient, the same code is billed by 20 facilities here, median $171.15. 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 25 of 32 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 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.