Low Complexity Occupational Therapy Evaluation

CPT Code: 97165

A low complexity occupational therapy evaluation, lasting 20 minutes.

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Actual driving distances may vary
Provider NameSort by 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.
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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.
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What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).
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Statewide Averages $303 1
$472 Near Average 90% $47
$195 Above Average 60% $78
St. Joseph Hospital
Nashua, NH
$210 Near Average 61% $82
Concord Hospital
Concord, NH
$246 Near Average 64% $88
Elliot Hospital
Manchester, NH
$282 Near Average 55% $127
Catholic Medical Center
Manchester, NH
$382 Near Average 66% $130
$211 Above Average 30% $148
Exeter Hospital
Exeter, NH
$371 Near Average 58% $156
Valley Regional Hospital
Claremont, NH
$317 Near Average 45% $174
$296 Near Average 39% $181
$296 Near Average 37% $187
$460 Near Average 57% $198
Monadnock Community Hospital
Peterborough, NH
$408 Near Average 36% $261
York Hospital
York, ME
$284 Near Average 0% $284
$478 Near Average 40% $287
$301 Near Average 0% $301
Women's Life Imaging
Somersworth, NH
$326 Near Average 0% $326
Anna Jaques Hospital
Newburyport, MA
$327 Near Average 0% $327
$368 Near Average 0% $368
$368 Near Average 0% $368
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