Doctor visits and therapy CPT 97165 Inpatient — admitted to hospital

Occupational therapy evaluation cost in New York, NY — inpatient

In New York-Newark-Jersey City, NY-NJ, 20 hospitals list a cash price for occupational therapy evaluation, low complexity as an inpatient: from $113.57 to $558.00, with a median of $171.15. The lowest listed price is at St. Barnabas Hospital — $57.58 less than the median here. Across New York, the median is $182.58 at 52 hospitals.

Cash prices at 20 facilities across 15 cities for code 97165, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Apr 1, 2026.

Lowest$113.57St. Barnabas Hospital
Median$171.15half pay less
Highest$558.00in this market
Difference4.9×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 $113.57Highest $558.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Barnabas Hospital lowest 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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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Occ Therapy Low Complex $124.23 $466.00 — 73% —
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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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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Occ Therapy Low Complex $124.23 $410.00 — 70% —
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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 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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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 Mineola, 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 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 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 Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC OT EVAL LOW COMPLEX GO $171.15 $900.80 $103.42–$900.80 81% Jan 1, 2026
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Ot Eval Low Complex 30 Min $268.10 $383.00 — 30% Oct 28, 2025
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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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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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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 OT EVAL; LOW COMPLEXITY $494.00 $494.00 — — 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 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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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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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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Inpatient: lowest $113.57, median $171.15, highest $558.00 — a 4.9× difference within the same market.

As an outpatient, the same code is billed by 43 facilities here, median $128.99 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 8 of 8 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.