Doctor visits and therapy CPT 97165 West Virginia Outpatient

Occupational therapy evaluation cost in West Virginia

In West Virginia, 26 hospitals publish a cash price for occupational therapy evaluation, low complexity: from $75.96 to $315.00, with a median of $184.00. The lowest price is at Rivers Health (Point Pleasant). The highest price is 4.1× the lowest.

  • The median here, $184.00, is 10% below the US median of $204.78.
  • That is 1.8× Medicare's 2026 national rate for the same service ($100.54).
  • West Virginia ranks 19th of 50 states by median, cheapest first.
  • 1 of 26 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 8, 2026. See them on a map

Lowest$75.96Rivers Health
Median$184.00half of hospitals charge less
Highest$315.00in West Virginia
Lowest saves$108.04vs the median

Hospitals in West Virginia, cheapest first

HospitalCash priceList priceFile date
Rivers Health lowest Point Pleasant · Point Pleasant, WV OT EVALUATION LOW COMPLEXITY $75.96 $237.39 Nov 22, 2025
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West Virginia University Hospitals Morgantown · Morgantown, WV OT EVAL LOW COMPLEX 30 MIN $85.50 $171.00 Jul 10, 2026
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Summersville Regional Medical Center Summersville · Summersville, WV OT EVAL LOW COMPLEX 30 MIN $86.50 $173.00 Jul 10, 2026
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Braxton County Memorial Hospital Gassaway · Gassaway, WV OT EVAL LOW COMPLEX 30 MIN $106.50 $213.00 Jul 11, 2026
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St. Joseph's Hospital of Buckhannon Buckhannon · Buckhannon, WV OT EVAL LOW COMPLEX 30 MIN $110.50 $221.00 Jul 10, 2026
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Boone Memorial Hospital Madison · Charleston, WV OT EVALUATION LOW COMPLEXITY $112.50 $225.00 Apr 7, 2026
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Vandalia Health Broaddus Hospital Philippi · Philippi, WV OCCUPATIONAL THER EVAL LOW COMPLEX 97165 $113.53 $162.18 Jul 31, 2026
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Pocahontas Memorial Hospital Buckeye · Buckeye, WV OT EVAL LOW COMP 30M $137.90 $197.00 Nov 13, 2025
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Jackson General Hospital Ripley · Ripley, WV OT EVAL LOW COMPLEX 30 MIN $157.50 $315.00 Jul 11, 2026
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Preston Memorial Hospital Kingwood · Morgantown, WV OT KX EVAL LOW COMPLEX (30 MIN) $159.13 $318.25 May 21, 2026
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Jefferson Medical Center Ranson · Washington-Arlington-Alexandria, DC-VA-MD-WV OT EVAL LOW COMPLEX 30 MIN $175.00 $350.00 Jul 12, 2026
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Reynolds Memorial Hospital Glen Dale · Wheeling, WV-OH OT EVAL LOW COMPLEX 30 MIN $182.50 $365.00 Jul 9, 2026
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Potomac Valley Hospital of WV Keyser · Cumberland, MD-WV OT EVAL LOW COMPLEX 30 MIN $183.00 $366.00 Jul 10, 2026
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Camden-Clark Memorial Hospital Parkersburg · Parkersburg-Vienna, WV OT EVAL LOW COMPLEX 30 MIN $185.00 $370.00 Jul 9, 2026
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United Hospital Center Bridgeport · Clarksburg, WV OT EVAL LOW COMPLEX 30 MIN $185.00 $370.00 Jul 10, 2026
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Thomas Memorial Hospital South Charleston · Charleston, WV OT EVAL LOW COMPLEX 30 MIN $194.00 $388.00 Jul 10, 2026
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Grant Memorial Hospital Petersburg · Petersburg, WV OT EVAL LOW COMPLEX 30 MIN $204.80 $256.00 Jul 12, 2026
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Berkeley Medical Center Martinsburg · Hagerstown-Martinsburg, MD-WV OT EVAL LOW COMPLEX 30 MIN $207.50 $415.00 Jul 9, 2026
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Minnie Hamilton Health Care Center Grantsville · Grantsville, WV OT EVAL LOW COMPLEX 30 MIN $209.00 $209.00 Nov 12, 2025
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Mon Health Marion Neighborhood Hospital White Hall · Fairmont, WV OT Evaluation Low Complexity $211.79 $423.57 Apr 21, 2026
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Wetzel County Hospital New Martinsville · New Martinsville, WV OT EVAL LOW COMPLEX 30 MIN $216.50 $433.00 Jul 10, 2026
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Roane General Hospital Spencer · Spencer, WV Ot eval low complex 30 min $217.95 $363.25 Nov 2, 2026
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Wheeling Hospital Wheeling · Wheeling, WV-OH OT EVAL LOW COMPLEX 30 MIN $221.50 $443.00 Jul 9, 2026
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Weirton Medical Center Weirton · Weirton-Steubenville, WV-OH OT EVAL LOW COMPLEX 30 MIN $250.50 $501.00 Jul 10, 2026
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Raleigh General Hospital Beckley · Beckley, WV 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 $304.75 $761.88 Jul 10, 2026
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Princeton Community Hospital Assn Princeton · Bluefield, WV-VA OT EVAL LOW COMPLEX 30 MIN $315.00 $630.00 Jul 10, 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
Charleston, WV 2 $112.50 $153.25
Morgantown, WV 2 $85.50 $122.32
Wheeling, WV-OH 2 $182.50 $202.00
Buckeye, WV 1 $137.90 $137.90
Buckhannon, WV 1 $110.50 $110.50
Beckley, WV 1 $304.75 $304.75
Bluefield, WV-VA 1 $315.00 $315.00
Clarksburg, WV 1 $185.00 $185.00
Cumberland, MD-WV 1 $183.00 $183.00
Fairmont, WV 1 $211.79 $211.79
Gassaway, WV 1 $106.50 $106.50
Grantsville, WV 1 $209.00 $209.00
Hagerstown-Martinsburg, MD-WV 1 $207.50 $207.50
New Martinsville, WV 1 $216.50 $216.50
Petersburg, WV 1 $204.80 $204.80
Philippi, WV 1 $113.53 $113.53
Point Pleasant, WV 1 $75.96 $75.96
Parkersburg-Vienna, WV 1 $185.00 $185.00
Ripley, WV 1 $157.50 $157.50
Spencer, WV 1 $217.95 $217.95
Summersville, WV 1 $86.50 $86.50
Washington-Arlington-Alexandria, DC-VA-MD-WV 1 $175.00 $175.00
Weirton-Steubenville, WV-OH 1 $250.50 $250.50
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.