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Procedure price report · Diagnostic physical, occupational, and speech therapy

Occupational therapy re-evaluation

CPT 97168the billing code this page is about

A follow-up assessment by an occupational therapist to review progress and update the treatment plan; billed once per re-evaluation visit.

Hospitals typically charge $140 cash for this outpatient procedure — the median across 3,201 hospitals that filed a usable cash price; the average of the middle 60% is $148. Most fall between $85 and $245 (20th–80th percentile).

Hospitals
3,201
States
50
Filings dated
Dec 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 3,201 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$65$94$140$219$331

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($65 vs $331).

How the prices are spread

$50 – $62: 117 hospitals$50$62 – $77: 219 hospitals$77 – $96: 351 hospitals$77$96 – $120: 411 hospitals$120 – $150: 469 hospitals$120$150 – $187: 429 hospitals$187 – $233: 342 hospitals$187$233 – $290: 257 hospitals$290 – $362: 165 hospitals$290$362 – $451: 121 hospitals$362median $140price bands are equal on a log scale
Hospitals per price band (2,881 of 3,201 — the bands cover the 5th to 95th percentile)
FromToHospitals
$50$62117
$62$77219
$77$96351
$96$120411
$120$150469
$150$187429
$187$233342
$233$290257
$290$362165
$362$451121

By state

The median cash price in each state, against the national median of $140.

Alaska: median $251 across 18 hospitalsAK$251Maine: median $115 across 27 hospitalsME$115Vermont: median $160 across 13 hospitalsVT$160New Hampshire: median $132 across 21 hospitalsNH$132Washington: median $144 across 68 hospitalsWA$144Idaho: median $172 across 22 hospitalsID$172Montana: median $126 across 28 hospitalsMT$126North Dakota: median $205 across 25 hospitalsND$205Minnesota: median $136 across 100 hospitalsMN$136Illinois: median $163 across 136 hospitalsIL$163Wisconsin: median $135 across 98 hospitalsWI$135Michigan: median $122 across 92 hospitalsMI$122New York: median $138 across 96 hospitalsNY$138Massachusetts: median $216 across 47 hospitalsMA$216Oregon: median $161 across 55 hospitalsOR$161Nevada: median $173 across 19 hospitalsNV$173Wyoming: median $145 across 15 hospitalsWY$145South Dakota: median $191 across 31 hospitalsSD$191Iowa: median $125 across 86 hospitalsIA$125Indiana: median $130 across 91 hospitalsIN$130Ohio: median $153 across 142 hospitalsOH$153Pennsylvania: median $148 across 127 hospitalsPA$148New Jersey: median $89 across 45 hospitalsNJ$89Connecticut: median $270 across 22 hospitalsCT$270Rhode Island: median $167 across 10 hospitalsRI$167California: median $212 across 181 hospitalsCA$212Utah: median $200 across 35 hospitalsUT$200Colorado: median $166 across 70 hospitalsCO$166Nebraska: median $129 across 79 hospitalsNE$129Missouri: median $108 across 81 hospitalsMO$108Kentucky: median $130 across 66 hospitalsKY$130West Virginia: median $115 across 31 hospitalsWV$115Virginia: median $139 across 72 hospitalsVA$139Maryland: median $106 across 41 hospitalsMD$106Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $87 across 50 hospitalsAZ$87New Mexico: median $161 across 25 hospitalsNM$161Kansas: median $116 across 82 hospitalsKS$116Arkansas: median $84 across 29 hospitalsAR$84Tennessee: median $82 across 76 hospitalsTN$82North Carolina: median $116 across 88 hospitalsNC$116South Carolina: median $172 across 52 hospitalsSC$172Oklahoma: median $86 across 59 hospitalsOK$86Louisiana: median $95 across 50 hospitalsLA$95Mississippi: median $74 across 57 hospitalsMS$74Alabama: median $101 across 39 hospitalsAL$101Georgia: median $131 across 98 hospitalsGA$131Hawaii: median $205 across 18 hospitalsHI$205Texas: median $184 across 218 hospitalsTX$184Florida: median $234 across 163 hospitalsFL$234
Cash price by state, most expensive first. National median $140. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Connecticut CT22$270+92%$167 – $309
Alaska AK18$251+79%$188 – $362
Florida FL163$234+67%$112 – $535
Massachusetts MA47$216+54%$134 – $306
California CA181$212+51%$127 – $372
Hawaii HI18$205+46%$160 – $293
North Dakota ND25$205+46%$131 – $267
Utah UT35$200+42%$135 – $249
South Dakota SD31$191+36%$164 – $230
Texas TX218$184+31%$104 – $334
Nevada NV19$173+23%$100 – $425
Idaho ID22$172+23%$131 – $212
South Carolina SC52$172+22%$105 – $265
Rhode Island RI10$167+19%$81 – $559
Colorado CO70$166+18%$105 – $229
Illinois IL136$163+16%$96 – $305
New Mexico NM25$161+15%$92 – $200
Oregon OR55$161+15%$112 – $242
Vermont VT13$160+14%$144 – $239
Ohio OH142$153+9%$103 – $212
Pennsylvania PA127$148+5%$92 – $265
Wyoming WY15$145+3%$94 – $195
Washington WA68$144+2%$91 – $191
Virginia VA72$139−1%$85 – $233
New York NY96$138−1%$79 – $270
Minnesota MN100$136−3%$100 – $178
Wisconsin WI98$135−4%$113 – $184
New Hampshire NH21$132−6%$101 – $251
Georgia GA98$131−7%$80 – $217
Kentucky KY66$130−7%$92 – $195
Indiana IN91$130−8%$74 – $174
Nebraska NE79$129−8%$79 – $175
Montana MT28$126−10%$94 – $186
Iowa IA86$125−11%$87 – $155
Michigan MI92$122−13%$88 – $168
Kansas KS82$116−17%$79 – $170
North Carolina NC88$116−18%$82 – $154
West Virginia WV31$115−18%$79 – $190
Maine ME27$115−18%$76 – $232
Missouri MO81$108−23%$67 – $164
Maryland MD41$106−24%$75 – $135
Alabama AL39$101−28%$62 – $157
Louisiana LA50$95−32%$63 – $135
New Jersey NJ45$89−37%$82 – $220
Arizona AZ50$87−38%$51 – $549
Oklahoma OK59$86−39%$55 – $132
Arkansas AR29$84−40%$61 – $162
Tennessee TN76$82−42%$41 – $133
Mississippi MS57$74−47%$52 – $118
Delaware DE7not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $140.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care2,252$140$82 – $253
Children’s72$286$164 – $409
Critical access867$138$93 – $199
Ownership
For-profit431$201$85 – $468
Government582$127$83 – $195
Non-profit2,178$141$86 – $235
System affiliation
Part of a system2,610$143$85 – $249
Independent591$133$86 – $216

Cash price vs list price

Median list price (chargemaster)$239
Median cash price$140
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

2,196 hospitals filed a usable inpatient cash price for this code. The median is $147 and the average of the middle 60% is $152; most fall between $89 and $237.

Cash price percentiles, inpatient, across 2,196 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$65$98$147$216$312

The most expensive tenth of hospitals charges at least 4.8× what the cheapest tenth charges ($65 vs $312).

Of the 2,323 hospitals that filed this code inpatient, 2,196 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 103 a list price only.

How complete is this

3,201 of the 3,956 hospitals with a price file in our corpus (81%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 3,382 hospitals that filed this code at all gave us
Usable cash price — counted3,201
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded135
Hospitals that filed this code3,382

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Diagnostic physical, occupational, and speech therapy family.

Hospitals file this code under descriptions such as Occupational Ther Re-Eval Est Plan Care 30 Mins.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Occupational therapy re-evaluation (CPT 97168) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-97168-occupational-therapy-re-evaluation