Occupational therapy evaluation cost in Sioux Falls, SD
In Sioux Falls, SD-MN, 3 hospitals list a cash price for occupational therapy evaluation, low complexity: from $236.00 to $279.20, with a median of $237.60. The lowest listed price is at Sanford Luverne Medical Center — $1.60 less than the median here. Across South Dakota, the median is $268.00 at 7 hospitals.
Cash prices at 3 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 Mar 4, 2026 and Mar 4, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Sioux Falls, SD-MN.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Sanford Luverne Medical Center lowest Luverne, MN · (507) 283-2321 OT EVAL LOW COMPLEXITY 97165 | $236.00 | $295.00 | $71.42–$279.07 | 20% | Mar 4, 2026 source file |
| Sanford Canton Inwood Medical Center Canton, SD · (605) 764-1500 OT EVAL LOW COMPLEXITY 97165 | $237.60 | $297.00 | $101.57–$267.30 | 20% | Mar 4, 2026 source file |
| Sanford USD Medical Center Sioux Falls, SD · (605) 333-1000 OT EVAL LOW COMPLEXITY 97165 | $279.20 | $349.00 | $94.81–$314.10 | 20% | Mar 4, 2026 source file |
Outpatient: lowest $236.00, median $237.60, highest $279.20 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $237.60. 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 3 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.