Occupational therapy evaluation cost in Pittsburgh, PA
In Pittsburgh, PA, 3 hospitals list a cash price for occupational therapy evaluation, low complexity: from $242.50 to $411.00, with a median of $373.20. The lowest listed price is at Uniontown Hospital — $130.70 less than the median here. Across Pennsylvania, the median is $261.25 at 28 hospitals.
Cash prices at 3 facilities across 2 cities 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 — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Pittsburgh, PA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Uniontown Hospital lowest Uniontown, PA · (724) 430-5000 OT EVAL LOW COMPLEX 30 MIN | $242.50 | $485.00 | $67.90–$224.89 | 50% | — source file |
| UPMC Magee-Womens Hospital Pittsburgh, PA · (412) 641-4010 HC CO OT EVAL LOW COMPLEX | $373.20 | $622.00 | $50.52–$572.24 | 40% | — source file |
| UPMC Passavant - McCandless Pittsburgh, PA · (412) 367-6700 HC CO OT EVAL LOW COMPLEX | $411.00 | $685.00 | $50.52–$582.25 | 40% | — source file |
Outpatient: lowest $242.50, median $373.20, highest $411.00 — a 1.7× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $392.10. 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 2 of 3 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.