Doctor visits and therapy CPT 97165 Wisconsin Outpatient

Occupational therapy evaluation cost in Wisconsin

In Wisconsin, 64 hospitals publish a cash price for occupational therapy evaluation, low complexity: from $59.80 to $512.00, with a median of $185.00. The lowest price is at Mercyhealth Hospital & Trauma Center (Janesville). The highest price is 8.6× the lowest.

  • The median here, $185.00, is 10% below the US median of $204.78.
  • That is 1.8× Medicare's 2026 national rate for the same service ($100.54).
  • Wisconsin ranks 20th of 50 states by median, cheapest first.
  • 4 of 64 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$59.80Mercyhealth Hospital & Trauma Center
Median$185.00half of hospitals charge less
Highest$512.00in Wisconsin
Lowest saves$125.20vs the median

Hospitals in Wisconsin, cheapest first

HospitalCash priceList priceFile date
Mercyhealth Hospital & Trauma Center lowest Janesville · Janesville-Beloit, WI HC PBB OT EVAL LOW COMPLEX 30 MIN $59.80 $79.73 Mar 1, 2026
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St Nicholas Hospital of the Hospital Sisters of the Third Order of St Francis Sheboygan · Sheboygan, WI HC OT EVAL LOW COMPLEXITY 15MIN $98.34 $149.00 Mar 24, 2026
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St Vincent Hospital of the Hospital Sisters of the Third Order of St Francis Green Bay · Green Bay, WI HC OT EVAL LOW COMPLEXITY 15MIN $98.34 $149.00 Mar 24, 2026
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St Clare Memorial Hospital Oconto Falls · Green Bay, WI HC OT EVAL LOW COMPLEXITY 15MIN $98.34 $149.00 Mar 24, 2026
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St Marys Hospital Medical Center Green Bay · Green Bay, WI HC OT EVAL LOW COMPLEXITY 15MIN $98.34 $149.00 Mar 24, 2026
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Grant Regional Health Center Lancaster · Platteville, WI Evaluation for occupational therapy, typically 30 minutes $98.80 $152.00 Sep 18, 2026
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Beloit Memorial Hospital Beloit · Janesville-Beloit, WI OT Evaluation Low Charge $99.60 $332.00 Oct 12, 2026
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Amery Hospital East Amery · East Amery, WI Occupational Therapy evaluation $106.89 $205.00 Mar 31, 2026
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Ascension Columbia St. Mary's Hospital - Milwaukee Campus Milwaukee · Milwaukee-Waukesha, WI HC OT EVAL LOW COMPLEX $127.73 $241.00 Jan 1, 2026
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Ascension Columbia St. Mary's Hospital - Ozaukee Campus Mequon · Milwaukee-Waukesha, WI HC OT EVAL LOW COMPLEX $127.73 $241.00 Jan 1, 2026
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Ascension NE Wisconsin - Mercy Campus Oshkosh · Oshkosh-Neenah, WI HC OT EVAL LOW COMPLEX $153.33 $269.00 Jan 1, 2026
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Ascension NE Wisconsin - St Elizabeth Campus Appleton · Appleton, WI HC OT EVAL LOW COMPLEX $153.33 $269.00 Jan 1, 2026
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OakLeaf Surgical Hospital Altoona · Eau Claire, WI OT EVAL LOW COMPLEX 30 MIN $156.84 $174.27 Feb 19, 2026
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Essentia Health St Marys Hospital-Superior Superior · Duluth, MN-WI OCCUPATIONAL THERAPY EVAL LOW COMPLEX $169.23 $229.00 Jan 1, 2026
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Children's Hospital of Wisconsin Milwaukee · Milwaukee-Waukesha, WI HBC OT EVALUATION LOW COMPLEXITY $170.50 $310.00 Mar 23, 2026
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Southwest Health Center Platteville · Platteville, WI HC OT EVAL LOW COMPLEXITY $177.75 $237.00 Mar 27, 2026
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Spooner Health System Spooner · Spooner, WI OCCUPATIONAL THERAPY EVAL LOW COMPLEX $180.00 $200.00 Jul 20, 2026
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Aurora BayCare Medical Center Green Bay · Green Bay, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 4, 2026
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Aurora Lakeland Medical Center Elkhorn · Whitewater-Elkhorn, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 4, 2026
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Aurora Medical Center Bay Area Marinette · Marinette, WI-MI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 4, 2026
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Aurora Medical Center Burlington Burlington · Racine-Mount Pleasant, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 6, 2026
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Aurora Medical Center Fond du Lac Fond Du Lac · Fond du Lac, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 5, 2026
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Aurora Medical Center Grafton Grafton · Milwaukee-Waukesha, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 4, 2026
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Aurora Medical Center Kenosha Kenosha · Milwaukee-Waukesha, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 6, 2026
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Aurora Medical Center Manitowoc Two Rivers · Manitowoc, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 4, 2026
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Aurora Medical Center Mount Pleasant Mount Pleasant · Racine-Mount Pleasant, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 4, 2026
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Aurora Medical Center Oshkosh Oshkosh · Oshkosh-Neenah, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 4, 2026
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Aurora Medical Center Sheboygan County Sheboygan · Sheboygan, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 4, 2026
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Aurora Medical Center Summit Summit · Milwaukee-Waukesha, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 5, 2026
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Aurora Medical Center Washington County Hartford · Milwaukee-Waukesha, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 5, 2026
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Aurora St Lukes Medical Center Milwaukee · Milwaukee-Waukesha, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 5, 2026
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Aurora St Lukes Medical Center of Aurora Health Care Metro Milwaukee · Milwaukee-Waukesha, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 5, 2026
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Aurora St. Luke's South Shore of Aurora Health Care Metro Cudahy · Milwaukee-Waukesha, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 6, 2026
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Aurora West Allis Medical Center West Allis · Milwaukee-Waukesha, WI OT EVAL LOW COMPLEXITY $185.00 $370.00 Nov 6, 2026
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Tomah Memorial Hospital Tomah · Sparta, WI Evaluation for occupational therapy, typically 30 minutes $186.01 $323.50 Oct 28, 2026
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Sauk Prairie Healthcare Prairie Du Sac · Baraboo, WI OT EVAL LOW COMPLEXITY $193.10 $353.00 Jan 29, 2026
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Bellin Memorial Health Green Bay · Green Bay, WI HCHG 97165 OT EVAL, LOW COMP, PRE-DRIVER ASSESSMENT $208.35 $450.00 Jun 27, 2026
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Burnett Medical Center Grantsburg · Grantsburg, WI Evaluation for occupational therapy, typically 30 minutes $210.40 $263.00 Oct 2, 2026
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Tamarack Health Ashland Medical Center Ashland · Ashland, WI Occupational Therapy Eval Low Complex $212.41 $223.59 Jan 26, 2026
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Stoughton Hospital Stoughton · Madison, WI Evaluation for occupational therapy, typically 30 minutes $213.40 $388.00 Jun 11, 2026
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Aspirus Divine Savior Hospital Portage · Madison, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Eagle River Hospital Eagle River · Eagle River, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Langlade Hospital Antigo · Antigo, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Medford Hospital Medford · Medford, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Merrill Hospital Merrill · Merrill, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Plover Hospital Stevens Point · Stevens Point-Plover, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Rhinelander Hospital Rhinelander · Rhinelander, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Stanley Hospital Stanley · Eau Claire, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Stevens Point Hospital Stevens Point · Stevens Point-Plover, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Tomahawk Hospital Tomahawk · Tomahawk, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Wausau Hospital Wausau · Wausau, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Aspirus Wisconsin Rapids Hospital Wisconsin Rapids · Wisconsin Rapids-Marshfield, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Howard Young Medical Center Woodruff · Woodruff, WI Fac Occupational Therapy Eval Low Complex $215.80 $332.00 Apr 1, 2026
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Ascension Calumet Hospital Chilton · Appleton, WI HC OT EVAL LOW COMPLEX $222.30 $390.00 Jan 1, 2026
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River Falls Area Hospital River Falls · Minneapolis-St. Paul-Bloomington, MN-WI HCHG OT EVAL LOW COMPLEXITY XP $240.35 $429.20 Jun 15, 2026
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AdventHealth Durand Durand · Durand, WI HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS $272.32 $272.32 Apr 1, 2026
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Froedtert Pleasant Prairie Hospital Pleasant Prairie · Kenosha, WI Evaluation Occupational Therapy $283.39 $377.85 Jul 1, 2026
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Mercyhealth Hospital & Medical Center - Walworth Lake Geneva · Whitewater-Elkhorn, WI HC OT EVAL LOW COMPLEX $283.41 $377.88 Mar 1, 2026
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Tamarack Health Hayward Medical Center Hayward · Hayward, WI Occupational Therapy Eval Low Complex $285.10 $300.11 Jan 26, 2026
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Black River Memorial Hospital Black River Falls · Black River Falls, WI OT Evaluation Low Complexity Units $315.00 $350.00 Jan 8, 2026
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Crossing Rivers Health Medical Center Prairie Du Chien · Prairie Du Chien, WI Evaluation for occupational therapy, typically 30 minutes $407.00 $407.00 Oct 22, 2026
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PAM Rehabilitation Hospital of Wausau Wausau · Wausau, WI OT Eval- Low Complexity $474.38 $474.38 Aug 6, 2026
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UnityPoint Health - Meriter Madison · Madison, WI HC OT EVAL LOW COMPLEX $478.39 $597.98 Jan 28, 2026
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Vernon Memorial Healthcare Viroqua · La Crosse-Onalaska, WI-MN HCHG VMH OT EVALUATION, LOW COMPLEXITY $512.00 $512.00 Nov 21, 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
Milwaukee-Waukesha, WI 11 $127.73 $185.00
Green Bay, WI 5 $98.34 $98.34
Madison, WI 3 $213.40 $215.80
Appleton, WI 2 $153.33 $187.82
Eau Claire, WI 2 $156.84 $186.32
Janesville-Beloit, WI 2 $59.80 $79.70
Oshkosh-Neenah, WI 2 $153.33 $169.16
Platteville, WI 2 $98.80 $138.28
Racine-Mount Pleasant, WI 2 $185.00 $185.00
Sheboygan, WI 2 $98.34 $141.67
Stevens Point-Plover, WI 2 $215.80 $215.80
Wausau, WI 2 $215.80 $345.09
Whitewater-Elkhorn, WI 2 $185.00 $234.20
Antigo, WI 1 $215.80 $215.80
Ashland, WI 1 $212.41 $212.41
Black River Falls, WI 1 $315.00 $315.00
Baraboo, WI 1 $193.10 $193.10
Durand, WI 1 $272.32 $272.32
Duluth, MN-WI 1 $169.23 $169.23
Eagle River, WI 1 $215.80 $215.80
East Amery, WI 1 $106.89 $106.89
Fond du Lac, WI 1 $185.00 $185.00
Grantsburg, WI 1 $210.40 $210.40
Hayward, WI 1 $285.10 $285.10
Kenosha, WI 1 $283.39 $283.39
La Crosse-Onalaska, WI-MN 1 $512.00 $512.00
Medford, WI 1 $215.80 $215.80
Merrill, WI 1 $215.80 $215.80
Manitowoc, WI 1 $185.00 $185.00
Marinette, WI-MI 1 $185.00 $185.00
Minneapolis-St. Paul-Bloomington, MN-WI 1 $240.35 $240.35
Prairie Du Chien, WI 1 $407.00 $407.00
Rhinelander, WI 1 $215.80 $215.80
Spooner, WI 1 $180.00 $180.00
Sparta, WI 1 $186.01 $186.01
Tomahawk, WI 1 $215.80 $215.80
Woodruff, WI 1 $215.80 $215.80
Wisconsin Rapids-Marshfield, WI 1 $215.80 $215.80
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.