What does code 97168 cost?

Across the published hospital price files, the disclosed cash price for 97168 ranges from $30.00 to $601. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

97168 is the billing code hospitals use to identify "HC OCCUPATIONAL THERAPY RE EVALUATION" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

97168

HCPCS

HC OCCUPATIONAL THERAPY RE EVALUATION

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 97168 (HC OCCUPATIONAL THERAPY RE EVALUATION) appears at 62 hospitals with disclosed cash prices from $30.00 to $601. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

105

Cash

105

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare 97168 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 97168 vary by about 20× across the 61 hospitals with disclosed prices here — from $30.00 to $601. Shopping around can matter.

Hospitals

108

Prices shown

$30.00

Lowest cash

$601

Highest cash

code 97168 cash price105 disclosed · 61 hospitals

$30.00median ~$142$601

Lowest cash price by hospital

Advocate Illinois Masonic Medical Center$30.00
Advocate Condell Medical Center$30.00
Advocate Good Samaritan Hospital$30.00
Henderson Hospital$49.80
Deaconess Gateway Hospital$54.78
Advocate South Suburban Hospital$70.00

Cash price by city

Reflects your current filters.

Cash price by city$30.00 – $240

Chicago · 2 hospitals$30.00–$240
Libertyville · 1 hospital$30.00–$130
Downers Grove · 1 hospital$30.00–$130
Henderson · 1 hospital$49.80
Newburgh · 1 hospital$54.78
Hazel Crest · 1 hospital$70.00–$130

108 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC OCCUPATIONAL THERAPY RE EVALUATION Inpatient & outpatient	Endeavor Health Edward Hospital	97168 HCPCS	$468	$468	—	—
Ot re-eval est plan care Outpatient	Endeavor Health Edward Hospital	97168 HCPCS	—	—	$69.31 – $112	—
Hc Occupational Therapy Re-Evaluation Established Plan Care Inpatient & outpatient	University of Chicago Medical Center	97168 HCPCS	—	—	—	—
Ot re-eval est plan care Outpatient	University of Chicago Medical Center	97168 HCPCS	—	—	—	—
PEDS OT RE EVAL PER 15 PA ONLY Outpatient	Advocate Illinois Masonic Medical Center	97168 CPT	$60.00	$30.00	$23.64 – $469	—
PEDS OT RE EVALUATION Outpatient	Advocate Illinois Masonic Medical Center	97168 CPT	$260	$130	$102 – $469	—
HB OT RE-EVALUATION EST PLAN CARE 30 MINS Inpatient & outpatient	Endeavor Health Swedish Hospital	97168 HCPCS	$240	$240	—	—
OCCUPATIONAL THERAPY RE-EVAL Outpatient	Advocate Condell Medical Center	97168 CPT	$260	$130	$102 – $295	—
PEDS OT RE EVAL PER 15 PA ONLY Outpatient	Advocate Condell Medical Center	97168 CPT	$60.00	$30.00	$23.64 – $295	—
PEDS OT RE EVALUATION Outpatient	Advocate Good Samaritan Hospital	97168 CPT	$260	$130	$102 – $469	—
OCCUPATIONAL THERAPY RE-EVAL Outpatient	Advocate Good Samaritan Hospital	97168 CPT	$260	$130	$102 – $469	—
OT RE EVALUATION PER 15 PA ONLY Outpatient	Advocate Good Samaritan Hospital	97168 CPT	$140	$70.00	$55.16 – $469	—
PEDS OT RE EVAL PER 15 PA ONLY Outpatient	Advocate Good Samaritan Hospital	97168 CPT	$60.00	$30.00	$23.64 – $469	—
OCCUPATIONAL THERAPY RE-EVAL Outpatient	Advocate South Suburban Hospital	97168 CPT	$260	$130	$102 – $469	—
OT RE EVALUATION PER 15 PA ONLY Outpatient	Advocate South Suburban Hospital	97168 CPT	$140	$70.00	$55.16 – $469	—
HC OT RE EVALUATION 60 MIN Inpatient	Deaconess Gateway Hospital	97168 CPT	$166	$54.78	$54.78 – $146	—
HC OT RE EVALUATION 30 MIN Inpatient	Deaconess Gateway Hospital	97168 CPT	$166	$54.78	$54.78 – $146	—
HC RE-EVALUATION OCCUPATIONAL THERAPY ESTABLISHED PLAN OF CARE Outpatient	Froedtert Hospital	97168 CPT	$230	$127	$67.28 – $384	—
HC TELEHEALTH RE-EVALUATION OCCUPATIONAL THERAPY ESTABLISHED PLAN OF CARE Outpatient	Froedtert Hospital	97168 CPT	$259	$142	$67.28 – $384	—
HC TELEHEALTH RE-EVALUATION OCCUPATIONAL THERAPY ESTABLISHED PLAN OF CARE Outpatient	Froedtert Menomonee Falls Hospital	97168 CPT	$217	$119	$65.10 – $370	—
HC RE-EVALUATION OCCUPATIONAL THERAPY ESTABLISHED PLAN OF CARE Outpatient	Froedtert Menomonee Falls Hospital	97168 CPT	$220	$121	$66.00 – $370	—
OCCUPATIONAL THERAPY RE-EVAL Inpatient	Aurora BayCare Medical Center	97168 CPT	$250	$125	$150 – $213	—
OCCUPATIONAL THERAPY RE-EVAL Inpatient	Aurora Medical Center Burlington	97168 CPT	$250	$125	$150 – $213	—
97168 OT RE-EVALUATION OT IP Inpatient	Munson Healthcare Charlevoix Hospital	97168 CPT	$144	$122	$115 – $144	—
OT Re-Evaluation - OT Inpatient	Munson Healthcare Charlevoix Hospital	97168 CPT	$144	$122	$115 – $144	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 97168 prices

Open a hospital to see this code in the context of its full published prices.

Code 97168: frequently asked

What does code 97168 cost?: Across the published hospital price files, the disclosed cash price for 97168 ranges from $30.00 to $601. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 97168?: 97168 is the billing code hospitals use to identify "HC OCCUPATIONAL THERAPY RE EVALUATION" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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Hospitals publishing code 97168 by state

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