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Hospital prices, out in the open.

Occupational therapy evaluation, moderate complexity in GA97166

HC OT EVAL MOD COMPLEX 45 MIN

Across 100 GA hospitals that publish a negotiated price for this code. Each hospital's figure is the middle of the rates it publishes across its own insurance plans, so the spread within one hospital is often wider than the gap between two.

Self-pay is what the hospital charges someone paying themselves rather than through insurance — the number to use if you have no coverage, or if this hospital is out of network. Paying self-pay usually doesn’t count toward your deductible, so it can cost less for this one service and more across a full year, if you’d have met your deductible anyway. Every other figure here is what an insurer pays, not what you would.

6 of these 100 hospitals have not published an updated price file in over a year, or do not say when they last did. Hospitals are required to update at least annually, so those figures may not reflect what they charge now: Jefferson Hospital, Jeff Davis Hospital, Monroe County Hospital, Tanner Medical Center Villa Rica, Southeast Georgia Health System- Brunswick Campus, Southeast Georgia Health System -- Camden Campus.

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These are prices the hospitals published themselves, as required by the federal Hospital Price Transparency Rule (45 CFR 180.50). They are the hospital's share only — the surgeon, anesthesiologist and radiologist usually bill separately and do not appear in any hospital file, so treat every figure here as part of a total rather than the total. What you actually pay also depends on your plan's deductible and coinsurance.