Doctor visits and therapy CPT 97165 Pennsylvania Outpatient

Occupational therapy evaluation cost in Pennsylvania

In Pennsylvania, 50 hospitals publish a cash price for occupational therapy evaluation, low complexity: from $96.89 to $596.31, with a median of $335.08. The lowest price is at Advanced Surgical Hospital (Washington). The highest price is 6.2× the lowest.

  • The median here, $335.08, is 64% above the US median of $204.78.
  • That is 3.3× Medicare's 2026 national rate for the same service ($100.54).
  • Pennsylvania ranks 46th of 50 states by median, cheapest first.
  • 4 of 51 hospitals list a cash price equal to their full list price, with no self-pay discount.

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$96.89Advanced Surgical Hospital
Median$335.08half of hospitals charge less
Highest$596.31in Pennsylvania
Lowest saves$238.19vs the median

Hospitals in Pennsylvania, cheapest first

HospitalCash priceList priceFile date
Advanced Surgical Hospital lowest Washington · Pittsburgh, PA OT OT INITIAL EVAL-LOW COMPLEXITY $96.89 $325.00 Apr 24, 2026
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Lower Bucks Hospital Bristol · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Occup Thrp Eval, Low Complexity, 30 Min $103.00 $350.60 Sep 1, 2026
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Roxborough Memorial Hospital Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Hc Occup Thrp Eval, Low Complexity, 30 Min $103.00 $574.75 Sep 1, 2026
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Excela Health - Frick Hospital Mt Plesant · Pittsburgh, PA PRE-DRIVER EVALUATION $115.20 $192.00 Dec 17, 2025
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Troy Community Hospital Troy · Sayre, PA Ot Eval Low Complex 30 Min $118.80 $148.50 Mar 31, 2026
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Mercy Fitzgerald Hospital Darby · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Ot Evaluation Low Complexity Patient/Family $136.50 $210.00 Mar 31, 2026
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Nazareth Hospital Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Ot Evaluation Low Complexity Patient/Family $136.50 $210.00 Mar 31, 2026
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Penn State Health Holy Spirit Medical Center Camp Hill · Harrisburg-Carlisle, PA 97165 OT EVAL LOW COMPLEX 30 MIN Tech $149.55 $626.00 Mar 27, 2026
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Robert Packer Hospital Sayre · Sayre, PA Ot Eval Low Complex 30 Min $155.04 $193.80 Mar 31, 2026
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St Joseph Regional Health Network Reading · Reading, PA 97165 OT Initial Evaluation Low -> Yes $162.82 $626.00 Mar 27, 2026
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UPMC Kane Kane · Bradford, PA OT EVAL LOW 30 MIN $168.00 $280.00 Jul 16, 2026
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Penn State Health Lancaster Medical Center Lancaster · Lancaster, PA 97165 OT INITIAL EVAL LOW Tech $181.48 $626.00 Mar 27, 2026
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Holy Redeemer Hospital and Medical Center Meadowbrook · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD OT Eval Low Complex 30min - RDC $186.83 $311.37 Sep 21, 2026
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Conemaugh Memorial Medical Center Johnstown · Johnstown, PA Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance $195.20 $488.00 Apr 15, 2026
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Penn State Health Hampden Medical Center Enola · Harrisburg-Carlisle, PA 97165 OT INITIAL EVAL LOW Tech $197.00 $626.00 Mar 27, 2026
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Penn State Health Milton S. Hershey Medical Center Hershey · Harrisburg-Carlisle, PA 97165 OT Initial Evaluation Low -> Yes $207.39 $626.00 Mar 27, 2026
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Warren General Hospital Warren · Warren, PA OT EVAL LOW-COMPLEXITY $213.00 $213.00 Sep 24, 2026
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Titusville Area Hospital Titusville · Oil City, PA OT EVAL LOW COMPLEX 30 MIN $214.80 $358.00 Sep 11, 2026
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Uniontown Hospital Uniontown · Pittsburgh, PA OT EVAL LOW COMPLEX 30 MIN $242.50 $485.00 Jul 9, 2026
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PAM Health Rehabilitation Hospital of Hampden Enola · Harrisburg-Carlisle, PA OT Eval- Low Complexity $243.20 $243.20 Aug 6, 2026
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Meadville Medical Center Meadville · Meadville, PA OT EVAL LOW COMPLEX 30 MIN $277.20 $462.00 Sep 11, 2026
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Evangelical Community Hospital Lewisburg · Lewisburg, PA Evaluation for Occupational Therapy, Typically 30 Minutes $280.00 $350.00 Jan 1, 2026
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UPMC Cole Coudersport · Coudersport, PA OT EVAL LOW COMPLEXITY $281.40 $469.00 Mar 6, 2026
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Sharon Regional Medical Center Sharon · Hermitage, PA OT EVAL LOW COMPLEX 30 MIN $303.24 $303.24 Jul 4, 2024
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Allegheny Valley Hospital Natrona Heights · Pittsburgh, PA HC OT EVAL LOW COMPLEX 30 MIN $334.95 $435.00 Oct 28, 2026
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Chambersburg Hospital Chambersburg · Chambersburg, PA Evaluation for Occupational Therapy, Typically 30 Minutes $335.20 $419.00 Jan 1, 2026
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Ephrata Community Hospital Ephrata · Lancaster, PA Evaluation for Occupational Therapy, Typically 30 Minutes $335.20 $419.00 Jan 1, 2026
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Gettysburg Hospital Gettysburg · Gettysburg, PA Evaluation for Occupational Therapy, Typically 30 Minutes $335.20 $419.00 Jan 1, 2026
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Good Samaritan Hospital Lebanon · Lebanon, PA Evaluation for Occupational Therapy, Typically 30 Minutes $335.20 $419.00 Jan 1, 2026
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Waynesboro Hospital Waynesboro · Chambersburg, PA Evaluation for Occupational Therapy, Typically 30 Minutes $335.20 $419.00 Jan 1, 2026
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WellSpan Surgery and Rehabilitation Hospital York · York-Hanover, PA Evaluation for Occupational Therapy, Typically 30 Minutes $335.20 $419.00 Jan 1, 2026
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York Hospital York · York-Hanover, PA Evaluation for Occupational Therapy, Typically 30 Minutes $335.20 $419.00 Jan 1, 2026
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Canonsburg General Hospital Canonsburg · Pittsburgh, PA HC OT EVAL LOW COMPLEX 30 MIN $339.30 $435.00 Oct 28, 2026
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Jefferson Regional Medical Center Jefferson Hills · Pittsburgh, PA HC OT EVAL LOW COMPLEX 30 MIN $371.79 $459.00 Oct 28, 2026
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UPMC Magee-Womens Hospital Pittsburgh · Pittsburgh, PA HC CO OT EVAL LOW COMPLEX $373.20 $622.00 Mar 6, 2026
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St Mary Medical Center Langhorne · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HC Ot Evaluation Low Complexity Patient/Family $375.70 $578.00 Mar 31, 2026
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UPMC Passavant - McCandless Pittsburgh · Pittsburgh, PA HC CO OT EVAL LOW COMPLEX $411.00 $685.00 Mar 7, 2026
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Robert Packer Hospital, Towanda Campus Towanda · Sayre, PA Ot Eval Low Complex 30 Min $439.32 $549.15 Mar 31, 2026
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Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg · Pottsville, PA HB OT EVAL LOW COMPLEX 30 MIN $526.50 $585.00 Feb 26, 2026
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St Luke's Hospital - Miners Campus Coaldale · Pottsville, PA HB OT EVAL LOW COMPLEX 30 MIN $526.50 $585.00 Feb 27, 2026
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St Luke's Hospital - Allentown Campus Allentown · Allentown-Bethlehem-Easton, PA-NJ HB OT EVAL LOW COMPLEX 30 MIN $539.50 $650.00 Feb 26, 2026
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St Luke's Hospital - Anderson Campus Easton · Allentown-Bethlehem-Easton, PA-NJ HB OT EVAL LOW COMPLEX 30 MIN $539.50 $650.00 Feb 26, 2026
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St Luke's Hospital - Bethlehem Campus Bethlehem · Allentown-Bethlehem-Easton, PA-NJ HB OT EVAL LOW COMPLEX 30 MIN $539.50 $650.00 Feb 26, 2026
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St Luke's Hospital - Carbon Campus Lehighton · Allentown-Bethlehem-Easton, PA-NJ HB OT EVAL LOW COMPLEX 30 MIN $539.50 $650.00 Feb 27, 2026
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St Luke's Hospital - Easton Campus Easton · Allentown-Bethlehem-Easton, PA-NJ HB OT EVAL LOW COMPLEX 30 MIN $539.50 $650.00 Feb 26, 2026
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St Luke's Hospital - Lehighton Campus Lehighton · Allentown-Bethlehem-Easton, PA-NJ HB OT EVAL LOW COMPLEX 30 MIN $539.50 $650.00 Feb 27, 2026
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St Luke's Hospital - Monroe Campus Stroudsburg · East Stroudsburg, PA HB OT EVAL LOW COMPLEX 30 MIN $539.50 $650.00 Feb 27, 2026
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St Luke's Hospital - Sacred Heart Campus Allentown · Allentown-Bethlehem-Easton, PA-NJ HB OT EVAL LOW COMPLEX 30 MIN $539.50 $650.00 Feb 26, 2026
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St Luke's Hospital - Grand View Campus Sellersville · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HB OT EVAL LOW COMPLEX 30 MIN $585.00 $650.00 Feb 26, 2026
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St Luke's Hospital - Upper Bucks Campus Quakertown · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD HB OT EVAL LOW COMPLEX 30 MIN $585.00 $650.00 Feb 26, 2026
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The Children's Hospital of Philadelphia Philadelphia · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD Ot Evaluation, Low Complexity $596.31 $596.31 Dec 31, 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
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD 9 $103.00 $186.83
Pittsburgh, PA 8 $96.89 $337.12
Allentown-Bethlehem-Easton, PA-NJ 7 $539.50 $539.50
Harrisburg-Carlisle, PA 4 $149.55 $202.20
Sayre, PA 3 $118.80 $155.04
Chambersburg, PA 2 $335.20 $335.20
Lancaster, PA 2 $181.48 $258.34
Pottsville, PA 2 $526.50 $526.50
York-Hanover, PA 2 $335.20 $335.20
Bradford, PA 1 $168.00 $168.00
Coudersport, PA 1 $281.40 $281.40
East Stroudsburg, PA 1 $539.50 $539.50
Gettysburg, PA 1 $335.20 $335.20
Hermitage, PA 1 $303.24 $303.24
Johnstown, PA 1 $195.20 $195.20
Lebanon, PA 1 $335.20 $335.20
Lewisburg, PA 1 $280.00 $280.00
Meadville, PA 1 $277.20 $277.20
Oil City, PA 1 $214.80 $214.80
Reading, PA 1 $162.82 $162.82
Warren, PA 1 $213.00 $213.00
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.