97004 (CPT) by state — Price Transparency

CPT · across United States

97004 — Pr Occupational Therapy Re-evaluation

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$114 National median

$58 – $207 IQR (p25 – p75)

273 hospitals filing

40 states

View hospital-by-hospital → Raw rate rows →

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Uninsured estimates use the cash / self-pay median for this code: $112.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 97004 (CPT), with interquartile range
State	Median	p25	p75
CT	$342	$189	$383
WA	$295	$285	$308
MO	$250	$229	$375
IL	$198	$129	$240
CA	$196	$101	$346
TX	$180	$100	$241
HI	$166	$84	$224
SC	$157	$132	$172
MD	$144	$72	$216
CO	$144	$94	$692
MS	$136	$76	$170
PA	$126	$56	$167
LA	$120	$46	$147
MN	$115	$49	$173
KS	$111	$69	$123
TN	$110	$98	$155
WI	$107	$107	$107
AS	$106	$106	$106
NH	$105	$74	$151
OK	$105	$80	$112
IA	$104	$68	$372
ME	$93	$46	$120
MA	$91	$91	$91
KY	$89	$43	$154
MI	$88	$55	$165
IN	$84	$68	$105
OH	$83	$48	$106
AL	$83	$53	$125
AZ	$80	$80	$80
NV	$77	$77	$77
ID	$76	$68	$123
NY	$73	$53	$147
NE	$72	$53	$92
AR	$58	$42	$96
NJ	$58	$58	$106
UT	$57	$57	$57
WV	$48	$47	$83
FL	$44	$36	$54
VA	$41	$41	$109
GA	$41	$27	$51

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

CT	$342	$189	$383	$101	$446	5	14	34
WA	$295	$285	$308	$221	$308	1 ⚠ thin data	4	5
MO	$250	$229	$375	$31	$375	9	78	254
IL	$198	$129	$240	$33	$8,334	19	31	124
CA	$196	$101	$346	$12	$1,117	33	163	1,032
TX	$180	$100	$241	$14	$503	25	70	325
HI	$166	$84	$224	$18	$384	6	14	24
SC	$157	$132	$172	$61	$172	3	12	14
MD	$144	$72	$216	$62	$288	2 ⚠ thin data	2	5
CO	$144	$94	$692	$32	$3,456	7	50	140
MS	$136	$76	$170	$44	$250	5	25	62
PA	$126	$56	$167	$17	$426	7	50	155
LA	$120	$46	$147	$2	$150	4	14	70
MN	$115	$49	$173	$41	$1,156	4	3	11
KS	$111	$69	$123	$32	$185	10	15	48
TN	$110	$98	$155	$53	$234	3	16	37
WI	$107	$107	$107	$107	$109	3	2	20
AS	$106	$106	$106	$106	$106	1 ⚠ thin data	1	3
NH	$105	$74	$151	$69	$165	1 ⚠ thin data	8	16
OK	$105	$80	$112	$16	$125	8	14	80
IA	$104	$68	$372	$44	$653	4	23	73
ME	$93	$46	$120	$45	$146	2 ⚠ thin data	13	20
MA	$91	$91	$91	$91	$91	4	1	5
KY	$89	$43	$154	$35	$232	3	21	56
MI	$88	$55	$165	$33	$221	12	105	242
IN	$84	$68	$105	$18	$105	2 ⚠ thin data	12	29
OH	$83	$48	$106	$33	$219	6	19	201
AL	$83	$53	$125	$39	$153	5	8	19
AZ	$80	$80	$80	$21	$166	3	17	66
NV	$77	$77	$77	$77	$77	2 ⚠ thin data	1	2
ID	$76	$68	$123	$36	$345	3	20	46
NY	$73	$53	$147	$12	$2,663	35	84	346
NE	$72	$53	$92	$36	$199	4	14	32
AR	$58	$42	$96	$14	$350	8	63	181
NJ	$58	$58	$106	$27	$505	3	3	5
UT	$57	$57	$57	$57	$57	1 ⚠ thin data	1	1
WV	$48	$47	$83	$46	$95	2 ⚠ thin data	2	6
FL	$44	$36	$54	$11	$244	10	44	291
VA	$41	$41	$109	$41	$112	3	5	14
GA	$41	$27	$51	$20	$230	5	15	75