Doctor visits and therapy CPT 97165 Inpatient — admitted to hospital

Occupational therapy evaluation cost in Pittsburgh, PA — inpatient

In Pittsburgh, PA, 3 hospitals list a cash price for occupational therapy evaluation, low complexity as an inpatient: from $339.66 to $411.00, with a median of $373.20. The lowest listed price is at AHN Wexford Hospital — $33.54 less than the median here. Across Pennsylvania, the median is $280.00 at 29 hospitals.

Cash prices at 3 facilities across 2 cities for code 97165, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between Apr 14, 2026 and Apr 14, 2026.

Lowest$339.66AHN Wexford Hospital
Median$373.20half pay less
Highest$411.00in 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 Pittsburgh, PA.

median
Lowest $339.66Highest $411.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
AHN Wexford Hospital lowest Wexford, PA · (412) 295-3319 HC OT EVAL LOW COMPLEX 30 MIN $339.66 $459.00 $85.32–$137.01 26% Apr 14, 2026
source file
UPMC Magee-Womens Hospital Pittsburgh, PA · (412) 641-4010 HC CO OT EVAL LOW COMPLEX $373.20 $622.00 $223.92–$572.24 40% —
source file
UPMC Passavant - McCandless Pittsburgh, PA · (412) 367-6700 HC CO OT EVAL LOW COMPLEX $411.00 $685.00 $246.60–$637.05 40% —
source file

Inpatient: lowest $339.66, median $373.20, highest $411.00 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $356.43 — that is the price to compare if you are not being admitted.

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.