Doctor visits and therapy CPT 97165 New Jersey Outpatient

Occupational therapy evaluation cost in New Jersey

In New Jersey, 40 hospitals publish a cash price for occupational therapy evaluation, low complexity: from $49.50 to $1,044.00, with a median of $128.99. The lowest price is at Virtua Memorial Hospital (Mount Holly) and 4 other hospitals. The highest price is 21.1× the lowest.

  • The median here, $128.99, is 37% below the US median of $204.78.
  • That is 1.3× Medicare's 2026 national rate for the same service ($100.54).
  • New Jersey ranks 5th of 50 states by median, cheapest first.
  • 10 of 40 hospitals list a cash price equal to their full list price, with no self-pay discount.

Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. 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 11, 2026. See them on a map

Lowest$49.50Virtua Memorial Hospital + 4 more
Median$128.99half of hospitals charge less
Highest$1,044.00in New Jersey
Lowest saves$79.49vs the median

Hospitals in New Jersey, cheapest first

HospitalCash priceList priceFile date
Virtua Memorial Hospital lowest Mount Holly · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Ot Evaluation Low Complexity $49.50 $495.00 Apr 1, 2026
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Virtua Our Lady of Lourdes lowest Camden · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Ot Evaluation Low Complexity $49.50 $495.00 Apr 1, 2026
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Virtua West Jersey Hospital - Marlton lowest Voorhees · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Ot Evaluation Low Complexity $49.50 $495.00 Apr 1, 2026
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Virtua West Jersey Hospital - Voorhees lowest Voorhees · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Ot Evaluation Low Complexity $49.50 $495.00 Jun 1, 2026
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Virtua Willingboro Hospital lowest Willinboro · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Ot Evaluation Low Complexity $49.50 $495.00 Apr 1, 2026
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Atlanticare Regional Medical Center - Mainland Division Pomona · Atlantic City-Hammonton, NJ OT-EVAL-LOW COMPLEXITY $69.60 $464.00 Mar 18, 2026
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Trinitas Regional Medical Center Elizabeth · New York-Newark-Jersey City, NY-NJ HC Pt Occupational Therapy Eval Low Complex 30 Mins $82.21 $438.00 Mar 4, 2026
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Saint Marys Hospital Passaic · New York-Newark-Jersey City, NY-NJ Hc Occup Thrp Eval, Low Complexity, 30 Min $111.00 $403.00 Sep 1, 2026
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Hackensack Meridian Mountainside Medical Center Montclair · New York-Newark-Jersey City, NY-NJ Evaluation for occupational therapy, typically 30 minutes $118.76 $259.35 Feb 12, 2026
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CentraState Medical Center Freehold Township · New York-Newark-Jersey City, NY-NJ Eval Occ Therapy Low Complex $124.23 $466.00 Apr 1, 2026
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Chilton Medical Center Pompton Plains · New York-Newark-Jersey City, NY-NJ Eval Occ Therapy Low Complex $124.23 $410.00 Apr 1, 2026
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Hackettstown Medical Center Hackettstown · Allentown-Bethlehem-Easton, PA-NJ Eval Occ Therapy Low Complex $124.23 $447.00 Apr 1, 2026
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Morristown Medical Center Morristown · New York-Newark-Jersey City, NY-NJ Eval Occ Therapy Low Complex $124.23 $854.00 Apr 1, 2026
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Newton Medical Center Newton · New York-Newark-Jersey City, NY-NJ Eval Occ Therapy Low Complex $124.23 $1,125.00 Apr 1, 2026
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Overlook Medical Center Summit · New York-Newark-Jersey City, NY-NJ Eval Occ Therapy Low Complex $124.23 $748.00 Apr 1, 2026
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Bayshore Medical Center Holmdel · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 Dec 31, 2025
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Hackensack University Medical Center Hackensack · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $451.00 Dec 31, 2025
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JFK University Medical Center Edison · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $451.00 Dec 31, 2025
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Jersey Shore University Medical Center Neptune City · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $451.00 Dec 31, 2025
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Ocean Medical Center Brick · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $451.00 Dec 31, 2025
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Old Bridge Medical Center Old Bridge · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 Dec 31, 2025
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Palisades Medical Center North Bergen · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 Dec 31, 2025
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Raritan Bay Medical Center Perth Amboy · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 Dec 31, 2025
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Riverview Medical Center Red Bank · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 Dec 31, 2025
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Southern Ocean Medical Center Manahawkin · New York-Newark-Jersey City, NY-NJ OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $128.99 $435.00 Dec 31, 2025
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Englewood Health Englewood · New York-Newark-Jersey City, NY-NJ Occupational Therapy Eval Low Complex 30 Mins $161.10 $1,611.00 Feb 2, 2026
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Capital Health Medical Center - Hopewell Pennington · Trenton-Princeton, NJ OT SENSIBILITY EVALUATION $224.00 $224.00 Jun 24, 2026
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Capital Health Regional Medical Center Trenton · Trenton-Princeton, NJ OT SENSIBILITY EVALUATION $224.00 $224.00 Jun 24, 2026
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Children's Specialized Hospital Mountainside · New York-Newark-Jersey City, NY-NJ HC Ot Occupational Therapy Eval Low Complex 30 Mins $299.00 $598.00 Mar 4, 2026
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The Valley Hospital Paramus · New York-Newark-Jersey City, NY-NJ OT - OT EVAL LOW COMPLEX $325.80 $543.00 May 6, 2026
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Inspira Health Center Bridgeton Bridgeton · Vineland, NJ OT EVAL LOW COMPLEX 30 MIN $331.19 $331.19 Mar 24, 2026
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Inspira Health Center Woodbury Woodbury · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD OT EVAL LOW COMPLEX 30 MIN $331.19 $331.19 Mar 24, 2026
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Inspira Medical Center Elmer Elmer · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD OT EVAL LOW COMPLEX 30 MIN $331.19 $331.19 Mar 24, 2026
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Inspira Medical Center Mannington Salem · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD OT EVAL LOW COMPLEX 30 MIN $331.19 $331.19 Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD OT EVAL LOW COMPLEX 30 MIN $331.19 $331.19 Mar 24, 2026
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Inspira Medical Center Vineland Vineland · Vineland, NJ OT EVAL LOW COMPLEX 30 MIN $331.19 $331.19 Mar 24, 2026
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Saint Peters University Hospital New Brunswick · New York-Newark-Jersey City, NY-NJ OT EVAL LOW COMPLEX GO $902.00 $997.00 Nov 19, 2025
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St Luke's Warren Hospital Phillipsburg · Allentown-Bethlehem-Easton, PA-NJ HB OT EVAL LOW COMPLEX 30 MIN $954.90 $1,061.00 Feb 27, 2026
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Memorial Hospital for Cancer and Allied Diseases Middletown · New York-Newark-Jersey City, NY-NJ HC Ot Occupational Therapy Eval Low Complex 30 Mins $1,044.00 $1,044.00 Dec 1, 2025
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Memorial Hospital for Cancer and Allied Diseases Basking Ridge · New York-Newark-Jersey City, NY-NJ HC Ot Occupational Therapy Eval Low Complex 30 Mins $1,044.00 $1,044.00 Dec 1, 2025
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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
New York-Newark-Jersey City, NY-NJ 24 $82.21 $128.99
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 9 $49.50 $49.50
Allentown-Bethlehem-Easton, PA-NJ 2 $124.23 $539.56
Trenton-Princeton, NJ 2 $224.00 $224.00
Vineland, NJ 2 $331.19 $331.19
Atlantic City-Hammonton, NJ 1 $69.60 $69.60
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.