Occupational therapy evaluation cost in Waterloo, IA
In Waterloo-Cedar Falls, IA, 3 hospitals list a cash price for occupational therapy evaluation, low complexity: from $173.46 to $229.45, with a median of $229.45. The lowest listed price is at Allen Hospital — $55.99 less than the median here. Across Iowa, the median is $179.40 at 33 hospitals.
Cash prices at 3 facilities across 2 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 Jan 28, 2026 and Mar 31, 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 Waterloo-Cedar Falls, IA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Allen Hospital lowest Waterloo, IA · (319) 235-3941 HC OT EVAL LOW COMPLEX | $173.46 | $216.82 | $97.50–$140.28 | 20% | Jan 28, 2026 source file |
| Allen Hospital Waterloo, IA · (319) 235-3941 PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $191.20 | $239.00 | $87.61–$159.80 | 20% | Jan 28, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo, IA · (319) 272-8000 HC Ot Evaluation Low Complexity Patient/Family | $229.45 | $353.00 | $72.58–$353.00 | 35% | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls, IA · (319) 268-3000 HC Ot Evaluation Low Complexity Patient/Family | $229.45 | $353.00 | $72.58–$353.00 | 35% | Mar 31, 2026 source file |
Outpatient: lowest $173.46, median $229.45, highest $229.45 — a 1.3× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $229.45. 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 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.