Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 64 hospitals list a cash price for occupational therapy evaluation, low complexity: from $82.21 to $11,935.00, with a median of $128.99. The lowest listed price is at Trinitas Regional Medical Center — $46.78 less than the median here. Across New York, the median is $171.15 at 89 hospitals.

  • The median here, $128.99, is 37% below the US median of $204.78.
  • That is 1.3× Medicare's 2026 national rate for the same service ($100.54).
  • New York, NY has the lowest median of 2 metro areas in New York with at least 10 hospitals pricing this code.
  • 11 of 64 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 64 facilities across 43 cities for code 97165, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Apr 22, 2025 and Sep 5, 2026.

Lowest$82.21Trinitas Regional Medical Center
Median$128.99half of hospitals charge less
Highest$11,935.00in this market
Difference145.2×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 $82.21Highest $17,864.61

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Trinitas Regional Medical Center lowest Elizabeth, NJ · (908) 994-5000 HC Pt Occupational Therapy Eval Low Complex 30 Mins File of Mar 4, 2026 · source file $82.21 $438.00 $51.75–$424.86 81%
St Joseph's Hospital, Yonkers Yonkers, NY · (914) 378-7000 Ot eval low complex 30 min+2 more lines at this price File of Jul 13, 2026 · source file $98.00 — $55.63–$603.25 —
Brookdale Hospital Medical Center Brooklyn, NY · (718) 240-5966 HC OT EVAL LOW COMPLEX 30 MIN File of Aug 1, 2026 · source file $106.08 $213.30 $99.09–$238.69 50%
Interfaith Medical Center Brooklyn, NY HC OT EVAL LOW COMPLEX 30 MIN File of Aug 1, 2026 · source file $106.08 $213.30 $99.09–$238.69 50%
Kingsbrook Jewish Medical Center Brooklyn, NY HC OT EVAL LOW COMPLEX 30 MIN File of Aug 1, 2026 · source file $106.08 $213.30 $99.09–$238.69 50%
Saint Marys Hospital Passaic, NJ · (973) 365-4300 Hc Occup Thrp Eval, Low Complexity, 30 Min File of Sep 1, 2026 · source file $111.00 $403.00 $76.93–$403.00 72%
Bellevue Hospital Center New York, NY · (212) 561-4132 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $112.90 $501.28 $112.90–$325.82 77%
Metropolitan Hospital Center New York, NY · (212) 423-6262 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $112.90 $501.28 $114.91–$324.78 77%
Elmhurst Hospital Center Broadway Elmhurst, NY · (718) 334-1141 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $114.08 $501.28 $114.08–$322.69 77%
Queens Hospital Center Jamaica, NY · (718) 883-3000 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $114.08 $501.28 $114.08–$326.87 77%
South Brooklyn Health Brooklyn, NY · (718) 616-4834 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $114.91 $501.28 $114.91–$324.78 77%
Woodhull Medical & Mental Health Center Brooklyn, NY · (718) 963-8100 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $114.91 $501.28 $114.91–$324.78 77%
Kings County Hospital Center Brooklyn, NY · (718) 245-3901 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $114.91 $501.28 $114.91–$324.78 77%
North Central Bronx Hospital Bronx, NY HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $114.91 $501.28 $114.91–$321.64 77%
Lincoln Medical & Mental Health Center Bronx, NY · (718) 579-5000 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $114.91 $501.28 $114.91–$325.82 77%
Jacobi Medical Center Bronx, NY · (718) 918-5000 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $114.91 $501.28 $114.91–$321.64 77%
Harlem Hospital Center New York, NY · (212) 939-1000 HC OT EVAL LOW COMPLEX 30 MIN File of Sep 5, 2026 · source file $114.91 $501.28 $112.90–$324.78 77%
Hackensack Meridian Mountainside Medical Center Montclair, NJ · (973) 429-6000 Evaluation for occupational therapy, typically 30 minutes File of Feb 12, 2026 · source file $118.76 $259.35 $27.23–$622.34 54%
Overlook Medical Center Summit, NJ · (908) 522-2000 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $124.23 $748.00 — 83%
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $124.23 $410.00 — 70%
Morristown Medical Center Morristown, NJ · (973) 971-5450 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $124.23 $854.00 — 85%
CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $124.23 $466.00 — 73%
Newton Medical Center Newton, NJ · (973) 383-2121 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $124.23 $1,125.00 — 89%
Bayshore Medical Center Holmdel, NJ · (732) 739-5900 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Dec 31, 2025 · source file $128.99 $435.00 $60.00–$154.79 70%
Riverview Medical Center Red Bank, NJ · (732) 741-2700 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Dec 31, 2025 · source file $128.99 $435.00 $61.34–$426.08 70%
JFK University Medical Center Edison, NJ · (732) 321-7000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS+1 more line at this price File of Dec 31, 2025 · source file $128.99 $451.00 $72.61–$446.04 71%
Southern Ocean Medical Center Manahawkin, NJ · (609) 597-6011 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Dec 31, 2025 · source file $128.99 $435.00 $78.30–$427.87 70%
Jersey Shore University Medical Center Neptune City, NJ · (732) 775-5500 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Dec 31, 2025 · source file $128.99 $451.00 $74.87–$451.00 71%
Palisades Medical Center North Bergen, NJ · (201) 854-5000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Dec 31, 2025 · source file $128.99 $435.00 $74.39–$415.99 70%
Ocean Medical Center Brick, NJ · (732) 840-2200 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS+1 more line at this price File of Dec 31, 2025 · source file $128.99 $451.00 $61.77–$446.04 71%
Hackensack University Medical Center Hackensack, NJ · (551) 996-2000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Dec 31, 2025 · source file $128.99 $451.00 $81.18–$451.00 71%
Raritan Bay Medical Center Perth Amboy, NJ · (732) 324-5000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Dec 31, 2025 · source file $128.99 $435.00 $90.00–$517.00 70%
Old Bridge Medical Center Old Bridge, NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS File of Dec 31, 2025 · source file $128.99 $435.00 $90.00–$517.00 70%
Englewood Health Englewood, NJ · (201) 894-3000 Occupational Therapy Eval Low Complex 30 Mins File of Feb 2, 2026 · source file $161.10 $1,611.00 $117.76–$1,288.80 90%
NYU Langone – Orthopedic Hospital New York, NY HC OT EVAL LOW COMPLEX GO File of Jan 1, 2026 · source file $171.15 $900.80 $103.42–$900.80 81%
NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC OT EVAL LOW COMPLEX GO File of Jan 1, 2026 · source file $171.15 $900.80 $103.42–$900.80 81%
NYU Langone Mineola, NY HC OT EVAL LOW COMPLEX GO File of Jan 1, 2026 · source file $171.15 $900.80 $103.42–$900.80 81%
NYU Langone Brooklyn, NY HC OT EVAL LOW COMPLEX GO File of Jan 1, 2026 · source file $171.15 $900.80 $103.42–$900.80 81%
NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 HC OT EVAL LOW COMPLEX GO File of Jan 1, 2026 · source file $171.15 $900.80 $103.42–$900.80 81%
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 OT EVAL LOW COMPLEX 30 MIN File of Mar 25, 2026 · source file $200.00 $200.00 $35.00–$1,912.00 —
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 OT EVAL LOW COMPLEX 30 MIN File of Mar 25, 2026 · source file $200.00 $200.00 $35.00–$1,912.00 —
Bronx-Lebanon Hospital Center - Concourse Division Bronx, NY · (212) 588-7000 OT EVAL LOW COMPLEX 30MIN+1 more line at this price File of Apr 17, 2026 · source file $212.01 $212.01 $86.60–$190.81 —
BronxCare Hospital Center - Fulton Campus Bronx, NY · (212) 588-7000 OT EVAL LOW COMPLEX 30MIN+1 more line at this price File of May 5, 2026 · source file $212.01 $212.01 $86.60–$190.81 —
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Ot Eval Low Complex 30 Min File of Oct 28, 2025 · source file $268.10 $383.00 $65.00–$383.00 30%
Children's Specialized Hospital Mountainside, NJ · (732) 258-7050 HC Ot Occupational Therapy Eval Low Complex 30 Mins File of Mar 4, 2026 · source file $299.00 $598.00 $237.00–$586.04 50%
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 OT EVAL LOW COMPLEX 30 MIN File of Jun 10, 2026 · source file $317.00 $317.00 $113.33–$4,255.00 —
St. Charles Hospital and Rehabilitation Center Port Jefferson, NY HC OT EVAL LOW COMPLEXITY File of Feb 19, 2026 · source file $317.24 $625.00 $125.00–$625.00 49%
St. Catherine of Siena Medical Center Smithtown, NY · (631) 862-3000 HC OT EVAL LOW COMPLEXITY File of Feb 19, 2026 · source file $317.24 $625.00 $125.00–$625.00 49%
Good Samaritan Hospital Medical Center West Islip, NY · (631) 376-3000 HC OT EVAL LOW COMPLEXITY File of Feb 19, 2026 · source file $317.24 $625.00 $125.00–$625.00 49%
Mercy Medical Center Rockville Centre, NY · (516) 705-2525 HC OT EVAL LOW COMPLEXITY File of Feb 19, 2026 · source file $317.24 $625.00 $125.00–$625.00 49%
Chsli St Joseph Hospital Bethpage, NY · (516) 759-6000 HC OT EVAL LOW COMPLEXITY File of Feb 19, 2026 · source file $317.24 $625.00 $106.99–$625.00 49%
St. Francis Hospital Roslyn, NY HC OT EVAL LOW COMPLEXITY File of Feb 19, 2026 · source file $317.24 $625.00 $125.00–$625.00 49%
The Valley Hospital Paramus, NJ · (201) 447-8000 OT - OT EVAL LOW COMPLEX File of May 6, 2026 · source file $325.80 $543.00 $60.00–$583.00 40%
CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $334.65 $2,136.00 — 84%
The Valley Hospital Paramus, NJ · (201) 447-8000 OT EVAL LOW COMPLEX File of May 6, 2026 · source file $367.80 $613.00 $60.00–$583.00 40%
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 OT EVAL; LOW COMPLEXITY File of Apr 1, 2026 · source file $494.00 $494.00 — —
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $500.95 $3,459.00 — 86%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC Ot Eval Low Complex 30 Min File of Apr 1, 2026 · source file $558.00 $620.00 — 10%
Mount Sinai Queens Long Island, NY HC Ot Eval Low Complex 30 Min File of Apr 1, 2026 · source file $558.00 $620.00 — 10%
Mount Sinai Morningside New York, NY HC Ot Eval Low Complex 30 Min File of Apr 1, 2026 · source file $558.00 $620.00 — 10%
The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Ot Eval Low Complex 30 Min File of Apr 1, 2026 · source file $558.00 $620.00 — 10%
Newton Medical Center Newton, NJ · (973) 383-2121 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $715.56 $5,051.00 — 86%
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 OT EVAL LOW COMPLEX GO File of Nov 19, 2025 · source file $902.00 $997.00 $13.00–$997.00 10%
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 TM OT EVAL LOW COMPLEX 30 MIN File of Nov 19, 2025 · source file $928.00 $1,039.00 $13.00–$1,039.00 11%
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 PEDS OT EVAL LOW COMPLEX GO File of Nov 19, 2025 · source file $934.00 $947.00 $13.00–$947.00 1%
Memorial Hospital for Cancer and Allied Diseases West Harrison, NY HC Ot Occupational Therapy Eval Low Complex 30 Mins File of Dec 1, 2025 · source file $1,044.00 $1,044.00 $157.25–$939.60 —
Memorial Hospital for Cancer and Allied Diseases New York, NY HC Ot Occupational Therapy Eval Low Complex 30 Mins File of Dec 1, 2025 · source file $1,044.00 $1,044.00 $157.25–$939.60 —
Memorial Hospital for Cancer and Allied Diseases Basking Ridge, NJ HC Ot Occupational Therapy Eval Low Complex 30 Mins File of Dec 1, 2025 · source file $1,044.00 $1,044.00 $387.00–$939.60 —
Memorial Hospital for Cancer and Allied Diseases Middletown, NJ HC Ot Occupational Therapy Eval Low Complex 30 Mins File of Dec 1, 2025 · source file $1,044.00 $1,044.00 $387.00–$939.60 —
University Hospital of Brooklyn Brooklyn, NY · (718) 270-1000 97165 - OT EVAL LOW COMPLEX 30 MIN File of Apr 22, 2025 · source file $11,935.00 $11,935.00 $7,521.00–$15,493.00 —
Morristown Medical Center Morristown, NJ · (973) 971-5450 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $17,385.21 $48,483.66 — 64%
Overlook Medical Center Summit, NJ · (908) 522-2000 Eval Occ Therapy Low Complex File of Apr 1, 2026 · source file $17,864.61 $63,307.76 — 72%
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 $82.21, median $128.99, highest $11,935.00 — a 145.2× difference within the same market.

As an inpatient, the same code is billed by 28 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 48 of 54 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.