Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in Rochester, NY

In Rochester, NY, 8 hospitals list a cash price for occupational therapy evaluation, low complexity: from $98.00 to $288.15, with a median of $181.16. The lowest listed price is at Nicholas H. Noyes Memorial Hospital — $83.16 less than the median here. Across New York, the median is $182.58 at 52 hospitals.

Cash prices at 8 facilities across 5 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 Apr 1, 2026 and Apr 1, 2026.

Lowest$98.00Nicholas H. Noyes Memorial Hospital
Median$181.16half pay less
Highest$288.15in this market
Difference2.9×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 Rochester, NY.

median
Lowest $98.00Highest $288.15

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Nicholas H. Noyes Memorial Hospital lowest Dansville, NY · (585) 335-6001 HB Occupational Therapy Eval Low Complex 30 Mins $98.00 — — — —
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F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 HB Occupational Therapy Eval Low Complex 30 Mins $136.00 — — — —
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Highland Hospital Rochester, NY · (585) 341-6711 HB Occupational Therapy Eval Low Complex 30 Mins $160.65 — $34.93–$299.00 — —
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Clifton Springs Hospital And Clinic Clifton Springs, NY · (315) 462-9561 HC OT EVAL LOW COMPLEX $181.16 $278.70 — 35% Apr 1, 2026
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Rochester General Hospital Rochester, NY · (585) 922-4000 HC OT EVAL LOW COMPLEX $181.16 $278.70 — 35% Apr 1, 2026
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Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC OT EVAL LOW COMPLEX $181.16 $278.70 — 35% Apr 1, 2026
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The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC OT EVAL LOW COMPLEX $222.96 $278.70 — 20% Apr 1, 2026
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Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB Occupational Therapy Eval Low Complex 30 Mins $288.15 — $40.90–$299.00 — —
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Outpatient: lowest $98.00, median $181.16, highest $288.15 — a 2.9× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $181.16. 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 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 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.