Doctor visits and therapy CPT 97165 Outpatient

Occupational therapy evaluation cost in San Diego, CA

In San Diego-Chula Vista-Carlsbad, CA, 6 hospitals list a cash price for occupational therapy evaluation, low complexity: from $111.00 to $260.00, with a median of $224.33. The lowest listed price is at Paradise Valley Hospital — $113.33 less than the median here. Across California, the median is $260.00 at 86 hospitals.

Cash prices at 6 facilities across 3 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 Sep 1, 2026.

Lowest$111.00Paradise Valley Hospital
Median$224.33half pay less
Highest$260.00in this market
Difference2.3×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 San Diego-Chula Vista-Carlsbad, CA.

median
Lowest $111.00Highest $260.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Paradise Valley Hospital lowest National City, CA · (619) 470-4321 OT EVAL 45M $111.00 $616.98 $97.20–$712.61 82% Sep 1, 2026
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Paradise Valley Hospital lowest National City, CA · (619) 470-4321 OT EVAL 60M $111.00 $648.00 $97.20–$712.61 83% Sep 1, 2026
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Paradise Valley Hospital lowest National City, CA · (619) 470-4321 OT MCARE EVAL 30M $111.00 $712.61 $97.20–$712.61 84% Sep 1, 2026
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Paradise Valley Hospital lowest National City, CA · (619) 470-4321 OT EVAL LOW COMPLEX 30 MIN $111.00 $350.60 $97.20–$712.61 68% Sep 1, 2026
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Paradise Valley Hospital lowest National City, CA · (619) 470-4321 OT EVAL 30M $111.00 $324.00 $97.20–$712.61 66% Sep 1, 2026
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Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 Rsp Ot Eval Low $165.00 $220.00 — 25% Apr 1, 2026
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Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 Rch Scrmer Hc-Ot Eval Low Complexity $165.00 $220.00 — 25% Apr 1, 2026
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Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 Scripps Nicu-Ot Eval Low Complexity $165.00 $220.00 — 25% Apr 1, 2026
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UC San Diego Medical Center San Diego, CA · (619) 543-6222 Evaluation of occupational therapy, typically 30 minutes $188.65 $343.00 $34.30–$222.95 45% Apr 1, 2026
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Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 Rch Ot Evaluation Low Complexity $231.75 $309.00 — 25% Apr 1, 2026
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Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 Rch Ot Evaluation 30 Min $245.25 $327.00 — 25% Apr 1, 2026
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Kaiser Foundation Hospital - San Diego - Zion San Diego, CA · (619) 528-5000 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $260.00 $500.00 — 48% —
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Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego, CA OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $260.00 $500.00 — 48% —
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Kaiser Foundation Hospital - San Marcos San Marcos, CA · (760) 528-6295 OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $260.00 $500.00 — 48% —
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Outpatient: lowest $111.00, median $224.33, highest $260.00 — a 2.3× difference within the same market.

As an inpatient, the same code is billed by 5 facilities here, median $260.00. 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.