Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Oshkosh, WI

In Oshkosh-Neenah, WI, 2 hospitals list a cash price for occupational therapy evaluation, low complexity: from $153.33 to $177.50, with a median of $165.42. The lowest listed price is at Ascension NE Wisconsin — $12.09 less than the median here. Across Wisconsin, the median is $177.50 at 46 hospitals.

Cash prices at 2 facilities 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 Nov 21, 2025.

Lowest$153.33Ascension NE Wisconsin
Median$165.42half pay less
Highest$177.50in this market
Difference1.2×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 Oshkosh-Neenah, WI.

median
Lowest $153.33Highest $177.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ascension NE Wisconsin lowest Oshkosh, WI HC OT EVAL LOW COMPLEX $153.33 $269.00 $110.00–$110.91 43% —
source file
Aurora Medical Center Oshkosh Oshkosh, WI · (920) 456-6000 OT EVAL LOW COMPLEXITY $177.50 $355.00 $213.00–$378.00 50% Nov 21, 2025
source file

Outpatient: lowest $153.33, median $165.42, highest $177.50 — a 1.2× difference within the same market.

As an inpatient, the same code is billed by 1 facility 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 1 of 2 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.