Occupational therapy evaluation cost in Utica, NY — inpatient
In Utica-Rome, NY, 2 hospitals list a cash price for occupational therapy evaluation, low complexity as an inpatient: from $106.98 to $156.00, with a median of $131.49. The lowest listed price is at Rome Memorial Hospital — $24.51 less than the median here. Across New York, the median is $171.15 at 69 hospitals.
Cash prices at 2 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 Aug 11, 2026 and Aug 11, 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 Utica-Rome, NY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Lym ot evaluation low complexity | $106.98 | $265.00 | $98.00–$265.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Ot eval low complex 30 min | $106.98 | $265.00 | $98.00–$265.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Lym ot evaluation low complexity | $106.98 | $265.00 | $98.00–$265.00 | 60% | Aug 11, 2026 source file |
| Rome Memorial Hospital lowest Rome, NY · (315) 338-7000 Ot eval low complex 30 min | $106.98 | $265.00 | $98.00–$265.00 | 60% | Aug 11, 2026 source file |
| Mvhs Utica, NY HC Ot Eval Low Complexity | $156.00 | $260.00 | $68.72–$281.56 | 40% | — source file |
| Mvhs Utica, NY HC Ot Eval Low Complexity | $156.00 | $260.00 | $68.72–$281.56 | 40% | — source file |
Inpatient: lowest $106.98, median $131.49, highest $156.00 — a 1.5× difference within the same market.
As an outpatient, the same code is billed by 3 facilities here, median $106.98 — that is the price to compare if you are not being admitted.
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.