Low Complexity Occupational Therapy Evaluation
CPT Code 97165
A low complexity occupational therapy evaluation, lasting 20 minutes. This estimate is the cost per unit. You may receive multiple units during one visit. To calculate the total cost estimate, multiply the estimate by the number of units.
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Compare Procedure Costs
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
| Provider Name |
Estimate of Procedure Cost
Estimate of Procedure Cost This is an estimate of the total charge for the health care service before any discounts provided to the uninsured. |
Number of Visits
Number of Visits When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits. - Above Average: Expect to visit the provider more than the average number of visits. - Near Average: Expect the visit the provider close to the average number of visits. - Below Average: Expect to visit the provider less than the average number of visits. |
Uninsured Discount
Uninsured Discount The minimum discount rate that the health care provider gives to the New Hampshire Insurance Department. The actual discount depends on your financial status and the health care provider’s charity care policy. |
What You Will Pay
What You Will Pay The estimated charge amount minus the uninsured discount (when available). |
|
|---|---|---|---|---|---|
| Statewide Averages | $510 | 1 | |||
|
St. Joseph Hospital
Nashua, NH |
$227 | Near Average | 61% | $88 | |
|
Elliot Hospital
Manchester, NH |
$288 | Near Average | 59% | $118 | |
|
Exeter Hospital
Exeter, NH |
$393 | Near Average | 63% | $146 | |
|
Alice Peck Day Memorial Hospital
Lebanon, NH |
$240 | Near Average | 37% | $151 | |
|
Southern New Hampshire Health
Nashua, NH |
$478 | Near Average | 57% | $205 | |
|
Speare Memorial Hospital
Plymouth, NH |
$392 | Near Average | 40% | $235 | |
|
Monadnock Community Hospital
Peterborough, NH |
$434 | Near Average | 38% | $269 | |
|
Wentworth-Douglass Hospital
Dover, NH |
$510 | Near Average | 40% | $306 | |
|
Access Sports Medicine & Orthopaedics
Exeter, NH |
$311 | Near Average | 0% | $311 | |
|
Neuro Rehab Associates
Salem, NH |
$368 | Near Average | 0% | $368 | |
Compare Selected
Compare Procedure Costs
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
Before seeking care, contact your health or dental insurance company to confirm if a provider is covered by your plan.