Doctor visits and therapy CPT 97165 Illinois Outpatient

Occupational therapy evaluation cost in Illinois

In Illinois, 93 hospitals publish a cash price for occupational therapy evaluation, low complexity: from $40.00 to $737.00, with a median of $255.60. The lowest price is at Advocate Childrens Hospital Oak Lawn (Oak Lawn) and 5 other hospitals. The highest price is 18.4× the lowest.

  • The median here, $255.60, is 25% above the US median of $204.68.
  • That is 2.5× Medicare's 2026 national rate for the same service ($100.54).
  • Illinois ranks 36th of 50 states by median, cheapest first.
  • 22 of 93 hospitals list a cash price equal to their full list price, with no self-pay discount.

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

Outpatient cash prices, one line per hospital — its lowest listed price for code 97165. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 10, 2026. See them on a map

Lowest$40.00Advocate Childrens Hospital Oak Lawn + 5 more
Median$255.60half of hospitals charge less
Highest$737.00in Illinois
Lowest saves$215.60vs the median

Hospitals in Illinois, cheapest first

HospitalCash priceList priceFile date
Advocate Childrens Hospital Oak Lawn lowest Oak Lawn · Chicago-Naperville-Elgin, IL-IN PEDS OT EVAL LOW COMP/15 PA ONLY $40.00 $80.00 Nov 3, 2026
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Advocate Childrens Hospital Park Ridge lowest Park Ridge · Chicago-Naperville-Elgin, IL-IN PEDS OT EVAL LOW COMP/15 PA ONLY $40.00 $80.00 Nov 6, 2026
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Advocate Condell Medical Center lowest Libertyville · Chicago-Naperville-Elgin, IL-IN PEDS OT EVAL LOW COMP/15 PA ONLY $40.00 $80.00 Nov 3, 2026
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Advocate Good Samaritan Hospital lowest Downers Grove · Chicago-Naperville-Elgin, IL-IN PEDS OT EVAL LOW COMP/15 PA ONLY $40.00 $80.00 Nov 3, 2026
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Advocate Illinois Masonic Medical Center lowest Chicago · Chicago-Naperville-Elgin, IL-IN PEDS OT EVAL LOW COMP/15 PA ONLY $40.00 $80.00 Nov 3, 2026
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Advocate Trinity Hospital lowest Chicago · Chicago-Naperville-Elgin, IL-IN PEDS OT EVAL LOW COMP/15 PA ONLY $40.00 $80.00 Nov 3, 2026
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Uchicago Medicine AdventHealth Bolingbrook Bolingbrook · Chicago-Naperville-Elgin, IL-IN HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $75.00 $300.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Glenoaks Glendale Heights · Chicago-Naperville-Elgin, IL-IN HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $75.00 $300.00 Apr 1, 2026
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Uchicago Medicine AdventHealth Hinsdale Hinsdale · Chicago-Naperville-Elgin, IL-IN HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $75.00 $300.00 Apr 1, 2026
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Uchicago Medicine AdventHealth La Grange La Grange · Chicago-Naperville-Elgin, IL-IN HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $75.00 $300.00 Apr 1, 2026
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Gottlieb Memorial Hospital Melrose Park · Chicago-Naperville-Elgin, IL-IN New Eval Ot Low Complexity $76.38 $402.00 Mar 31, 2026
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MacNeal Hospital Berwyn · Chicago-Naperville-Elgin, IL-IN New Eval Ot Low Complexity $76.38 $402.00 Mar 31, 2026
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Advocate Christ Medical Center Oak Lawn · Chicago-Naperville-Elgin, IL-IN OT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Advocate Good Shepherd Hospital Barrington · Chicago-Naperville-Elgin, IL-IN OT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Advocate Lutheran General Hospital Park Ridge · Chicago-Naperville-Elgin, IL-IN OT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Advocate Sherman Hospital Elgin · Chicago-Naperville-Elgin, IL-IN OT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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Advocate South Suburban Hospital Hazel Crest · Chicago-Naperville-Elgin, IL-IN OT EVAL LOW COMP PER 15 PA ONLY $85.00 $170.00 Nov 3, 2026
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MercyOne Genesis Aledo Medical Center Aledo · Davenport-Moline-Rock Island, IA-IL GHS OT EVAL =<15 MIN, LOW $87.00 $145.00 Mar 31, 2026
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MercyOne Genesis Silvis Medical Center Silvis · Davenport-Moline-Rock Island, IA-IL GHS OT EVAL =<15 MIN, LOW $87.00 $145.00 Mar 31, 2026
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Loyola University Medical Center Maywood · Chicago-Naperville-Elgin, IL-IN New Eval Ot Low Complexity $92.46 $402.00 Mar 31, 2026
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Rockford Memorial Hospital Rockford · Rockford, IL HC PBB OT EVAL LOW COMPLEX 30 MIN $94.54 $126.06 Mar 1, 2026
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La Rabida Children's Hospital Chicago · Chicago-Naperville-Elgin, IL-IN OT EVALUATION-LOW COMPLEXITY $97.23 $97.23 Apr 1, 2026
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Saint Francis Hospital Evanston · Chicago-Naperville-Elgin, IL-IN HC OCCUP THRP EVAL, LOW COMPLEXITY, 30 MIN $101.00 $374.00 Sep 1, 2026
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Mercy Medical Center Aurora · Chicago-Naperville-Elgin, IL-IN OT EVAL LOW COMPLEXITY $102.00 $617.00 Sep 1, 2026
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Saint Joseph Medical Center - Joliet Joliet · Chicago-Naperville-Elgin, IL-IN IFSP LOW COMPLEXITY - OT $102.00 $718.00 Sep 1, 2026
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Presence Saint Joseph Hospital - Chicago Chicago · Chicago-Naperville-Elgin, IL-IN HC OT EVAL LOW COMPLEXIY $123.42 $374.00 Jan 1, 2026
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Loretto Hospital Chicago · Chicago-Naperville-Elgin, IL-IN OCCUPATIONAL THERAPY EVAL $129.78 $216.30 Nov 5, 2026
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Riverside Medical Center Kankakee · Kankakee, IL OT EVAL LOW COMPLEX 30 MIN $132.83 $499.00 Mar 15, 2026
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Salem Township Hospital Salem · Centralia, IL HC 97165 OT EVALUATION, LOW COMPLEXITY $141.54 $353.86 Dec 3, 2025
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Community Hospital of Staunton Staunton · St. Louis, MO-IL OT EVAL LOW COMPLEX 30 MIN $163.20 $326.40 Feb 9, 2026
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Hamilton Memorial Hospital McLeansboror · McLeansboror, IL HC OT EVAL LOW COMPLEXITY $164.43 $182.70 Jun 11, 2026
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Resilience Healthcare West Suburban Medical Center Oak Park · Chicago-Naperville-Elgin, IL-IN OT Evaluation Units, Low Complexity BCE $169.17 $497.55 Mar 17, 2025
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FHN Memorial Hospital Freeport · Freeport, IL Evaluation for occupational therapy, typically 30 minutes $173.60 $217.00 Jan 22, 2026
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John H. Stroger, Jr. Hospital Chicago · Chicago-Naperville-Elgin, IL-IN OT EVAL - LOW COMPLEXITY $177.80 $254.00 Apr 1, 2026
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Crawford Memorial Hospital Robinson · Robinson, IL OT INITIAL EVAL - LOW COMPLEXITY $178.40 $223.00 Nov 12, 2025
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Thomas H Boyd Memorial Hospital Carrollton · Carrollton, IL Evaluation for occupational therapy, typically 30 minutes $184.00 $230.00 Jul 7, 2026
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Louis A Weiss Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN OT Evaluation Units, Low Complexity BCE $189.00 $555.89 Mar 17, 2025
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NorthShore University HealthSystems Glenbrook Hospital Glenview · Chicago-Naperville-Elgin, IL-IN Ot Evaluation Low Complex 30 Mins $189.15 $291.00 Jan 1, 2025
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NorthShore University HealthSystems Skokie Hospital Skokie · Chicago-Naperville-Elgin, IL-IN Ot Evaluation Low Complex 30 Mins $189.15 $291.00 Jan 1, 2025
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Deaconess Illinois Union County Hospital Anna · Anna, IL HC OT EVALUATION 90 MIN LOW COMPLEX $193.22 $522.21 Feb 3, 2026
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The Carle Foundation Hospital Urbana · Champaign-Urbana, IL 15' Ot Evaluation-Onsite $200.00 $200.00 Apr 15, 2026
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Hshs Good Shepherd Hospital Shelbyville · Shelbyville, IL OT EVAL LOW COMPLEX 30 MIN $214.56 $298.00 Mar 24, 2026
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Trinity Rock Island Rock Island · Davenport-Moline-Rock Island, IA-IL HC OT EVAL LOW COMPLEX $227.91 $284.88 Nov 4, 2026
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County of Clay Flora · Flora, IL HC OT EVAL LOW COMPLEXITY 2 RVU $228.00 $228.00 May 7, 2026
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Heartland Regional Medical Center Marion · Marion-Herrin, IL HC OT EVALUATION 75 MIN LOW COMPLEX $228.38 $1,201.96 Feb 3, 2026
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Mercyhealth Crystal Lake Hospital & Medical Center Crystal Lake · Chicago-Naperville-Elgin, IL-IN HC OT EVAL LOW COMPLEX $254.81 $339.75 Mar 1, 2026
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St Francis Hospital Sisters of the Third Order of St Francis Litchfield · Litchfield, IL OT EVAL LOW COMPLEX 30 MIN $255.60 $355.00 Mar 24, 2026
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St Josephs Hospital Hospital Sisters Third Order of St Francis Breese · St. Louis, MO-IL OT EVAL LOW COMPLEX 30 MIN $257.76 $358.00 Mar 24, 2026
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Northwest Community Hospital Arlington Heights · Chicago-Naperville-Elgin, IL-IN Hb Ot Eval Low Complex $278.00 $278.00 Apr 1, 2026
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Washington County Hospital Nashville · Nashville, IL HC OT EVAL LOW COMPLEXITY 1 RVU $278.40 $348.00 Jun 1, 2026
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Ferrell Hospital Community Foundation Eldorado · Eldorado, IL HC OT EVALUATION 15 MIN LOW COMPLEX $279.00 $372.00 Sep 22, 2026
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Richland Memorial Hospital Olney · Olney, IL Ot Eval Low Complexity $280.00 $280.00 Apr 15, 2026
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Mercyhealth Hospital & Medical Center - Harvard Harvard · Chicago-Naperville-Elgin, IL-IN HC OT EVAL LOW COMPLEX $283.41 $377.88 Mar 1, 2026
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Hshs Holy Family Hospital Greenville · St. Louis, MO-IL OT EVAL LOW COMPLEX 30 MIN $287.28 $399.00 Mar 24, 2026
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St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon · St. Louis, MO-IL OT EVAL LOW COMPLEX 30 MIN $290.88 $404.00 Mar 24, 2026
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St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland · St. Louis, MO-IL OT EVAL LOW COMPLEX 30 MIN $297.36 $413.00 Mar 24, 2026
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The University of Chicago Medical Center Chicago · Chicago-Naperville-Elgin, IL-IN Hc Occupational Therapy Evaluation Low Complex 30 Min $302.00 $302.00 Apr 1, 2026
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St Marys Hospital Decatur of Hospital Sisters of the Third Order of St Francis Decatur · Decatur, IL OT EVAL LOW COMPLEX 30 MIN $316.08 $439.00 Mar 25, 2026
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Kirby Medical Center Monticello · Champaign-Urbana, IL OT EVAL LOW COMPLEX 30 MIN $321.60 $536.00 Jun 11, 2026
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Anderson Hospital Maryville · St. Louis, MO-IL EI OT EVAL LOW OFF SITE $326.20 $652.40 Feb 6, 2026
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Endeavor Health Highland Park Hospital Highland Park · Chicago-Naperville-Elgin, IL-IN HB OT EVALUATION LOW COMPLEX 30 MINS $327.00 $327.00 Apr 1, 2026
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Northshore University Healthsystem - Evanston Hospital Evanston · Chicago-Naperville-Elgin, IL-IN HB OT EVALUATION LOW COMPLEX 30 MINS $327.00 $327.00 Apr 1, 2026
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Swedish Covenant Health Chicago · Chicago-Naperville-Elgin, IL-IN HB OT EVALUATION LOW COMPLEX 30 MINS $327.00 $327.00 Apr 1, 2026
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Northwestern Lake Forest Hospital Lake Forest · Chicago-Naperville-Elgin, IL-IN HB Drivers Ot Eval Low Complexity - Self Pay $346.50 $495.00 Apr 1, 2026
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Northwestern Medicine Central DuPage Hospital Winfield · Chicago-Naperville-Elgin, IL-IN HB Drivers Ot Eval Low Complexity - Self Pay $346.50 $495.00 Apr 1, 2026
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Northwestern Medicine Marianjoy Rehabilitation Hospital Wheaton · Chicago-Naperville-Elgin, IL-IN HB Drivers Ot Eval Low Complexity - Self Pay $346.50 $495.00 Apr 1, 2026
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Northwestern Medicine McHenry Hospital McHenry · Chicago-Naperville-Elgin, IL-IN HB Drivers Ot Eval Low Complexity - Self Pay $346.50 $495.00 Apr 1, 2026
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Northwestern Memorial Hospital Chicago · Chicago-Naperville-Elgin, IL-IN HB Drivers Ot Eval Low Complexity - Self Pay $346.50 $495.00 Apr 1, 2026
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Northwestern Medicine Delnor Hospital Geneva · Chicago-Naperville-Elgin, IL-IN HB Ot Feeding Clinic Low Complex $348.60 $498.00 Apr 1, 2026
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Northwestern Medicine Kishwaukee Hospital DeKalb · Chicago-Naperville-Elgin, IL-IN HB Ot Eval Low Complex $348.60 $498.00 Apr 1, 2026
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Northwestern Medicine Valley West Hospital Sandwich · Chicago-Naperville-Elgin, IL-IN HB Ot Feeding Clinic Low Complex $348.60 $498.00 Apr 1, 2026
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Palos Community Hospital Palos Heights · Chicago-Naperville-Elgin, IL-IN HB Ot Eval Low Complex $348.60 $498.00 Apr 1, 2026
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Sarah D Culbertson Memorial Hospital Rushville · Rushville, IL Evaluation for occupational therapy, typically 30 minutes $360.90 $401.00 May 26, 2026
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Harrisburg Medical Center Harrisburg · Harrisburg, IL HC Ot Evaluation $365.60 $457.00 Mar 4, 2026
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Herrin Hospital Herrin · Marion-Herrin, IL HC Ot Evaluation $365.60 $457.00 Mar 4, 2026
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Memorial Hospital of Carbondale Carbondale · Carbondale, IL HC Ot Evaluation $365.60 $457.00 Mar 4, 2026
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St Joseph Memorial Hospital Murphysboro · Carbondale, IL HC Ot Evaluation $365.60 $457.00 Mar 4, 2026
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St Johns Hospital of the Hospital Sisters of the Third Order of St Francis Springfield · Springfield, IL OT EVAL LOW COMPLEX 30 MIN $387.36 $538.00 Mar 24, 2026
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Hoopeston Community Memorial Hospital Hoopeston · Danville, IL Ot Eval Low Complexity $404.00 $404.00 Apr 15, 2026
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Rochelle Community Hospital Rochelle · Rochelle, IL Evaluation for occupational therapy, typically 30 minutes $406.00 $406.00 Sep 28, 2026
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Carle Health Pekin Hospital Pekin · Peoria, IL Ot Eval Low Complexity $410.00 $410.00 Apr 15, 2026
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Methodist Medical Center of Illinois Peoria · Peoria, IL Ot Eval Low Complexity $410.00 $410.00 Apr 15, 2026
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Proctor Community Hospital Peoria · Peoria, IL Ot Eval Low Complexity $410.00 $410.00 Apr 15, 2026
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Illini Community Hospital Pittsfield · Pittsfield, IL HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $410.85 $684.74 Jun 8, 2026
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St Anthonys Memorial Hospital of the Hospital Sisters of the Third Order of St Francis Mattoon · Charleston-Mattoon, IL OT EVAL LOW COMPLEX 30 MIN $441.36 $613.00 Mar 24, 2026
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Carle BroMenn Medical Center Normal · Bloomington, IL 15' Ot Evaluation-Offsite $454.00 $454.00 Apr 15, 2026
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Carle Eureka Hospital Eureka · Peoria, IL 15' Ot Evaluation-Offsite $454.00 $454.00 Apr 15, 2026
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Sarah Bush Lincoln Health Center Mattoon · Charleston-Mattoon, IL Evaluation for occupational therapy, typically 30 minutes $474.00 $474.00 Jun 3, 2026
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City of Clinton Clinton · Clinton, IL Evaluation for occupational therapy, typically 30 minutes $474.20 $474.20 Oct 21, 2026
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Ingalls Memorial Hospital Harvey · Chicago-Naperville-Elgin, IL-IN Hc Occupational Therapy Evaluation Low Complex 30 Min $486.00 $486.00 Apr 1, 2026
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Edward Hospital Naperville · Chicago-Naperville-Elgin, IL-IN HC OT EVAL LOW COMPLEXITY $684.00 $684.00 Apr 1, 2026
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Elmhurst Memorial Hospital Elmhurst · Chicago-Naperville-Elgin, IL-IN HC OT EVAL LOW COMPLEXITY $684.00 $684.00 Apr 1, 2026
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Gibson Area Hospital Gibson City · Champaign-Urbana, IL OT EVAL LOW COMPLEX 30 MIN $737.00 $737.00 Nov 4, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Chicago-Naperville-Elgin, IL-IN 48 $40.00 $149.48
St. Louis, MO-IL 6 $163.20 $289.08
Peoria, IL 4 $410.00 $410.00
Champaign-Urbana, IL 3 $200.00 $321.60
Davenport-Moline-Rock Island, IA-IL 3 $87.00 $87.00
Carbondale, IL 2 $365.60 $365.60
Charleston-Mattoon, IL 2 $441.36 $457.68
Marion-Herrin, IL 2 $228.38 $296.99
Anna, IL 1 $193.22 $193.22
Bloomington, IL 1 $454.00 $454.00
Carrollton, IL 1 $184.00 $184.00
Clinton, IL 1 $474.20 $474.20
Centralia, IL 1 $141.54 $141.54
Danville, IL 1 $404.00 $404.00
Decatur, IL 1 $316.08 $316.08
Eldorado, IL 1 $279.00 $279.00
Flora, IL 1 $228.00 $228.00
Freeport, IL 1 $173.60 $173.60
Harrisburg, IL 1 $365.60 $365.60
Kankakee, IL 1 $132.83 $132.83
Litchfield, IL 1 $255.60 $255.60
McLeansboror, IL 1 $164.43 $164.43
Nashville, IL 1 $278.40 $278.40
Olney, IL 1 $280.00 $280.00
Pittsfield, IL 1 $410.85 $410.85
Robinson, IL 1 $178.40 $178.40
Rushville, IL 1 $360.90 $360.90
Rochelle, IL 1 $406.00 $406.00
Rockford, IL 1 $94.54 $94.54
Shelbyville, IL 1 $214.56 $214.56
Springfield, IL 1 $387.36 $387.36
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What occupational therapy evaluation is, what the price covers and why prices differ: Occupational therapy evaluation explained.

Occupational therapy evaluation, low complexity in other states

Median cash price across the state's hospitals.