97004 (HCPCS) by state — Price Transparency

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

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

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