Moderate Complexity Occupational Therapy Evaluation

CPT Code: 97166

A moderate complexity occupational therapy evaluation, lasting 30 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 $335 1
$482 Near Average 90% $48
Concord Hospital
Concord, NH
$317 Near Average 64% $114
St. Joseph Hospital
Nashua, NH
$312 Near Average 61% $122
Elliot Hospital
Manchester, NH
$296 Near Average 55% $133
Catholic Medical Center
Manchester, NH
$398 Near Average 66% $135
$342 Near Average 60% $137
Exeter Hospital
Exeter, NH
$371 Near Average 58% $156
$296 Near Average 37% $187
$460 Near Average 57% $198
$289 Near Average 30% $202
$335 Near Average 39% $204
Monadnock Community Hospital
Peterborough, NH
$417 Near Average 36% $267
$478 Near Average 40% $287
$322 Above Average 0% $322
$368 Near Average 0% $368
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