Occupational therapy evaluation (high complexity) cost in Pennsylvania

Prices at 90 hospitals in Pennsylvania, from their machine-readable files. Here the median cash price is $313 — 16% above the US median ($269), roughly 3.1× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Heritage Valley Beaver Beaver, PA $85 $97 ★ 3/5 185 min 14.5%
Heritage Valley Sewickley Sewickley, PA $85 $97 ★ 4/5 132 min 15.1%
Acmh Hospital Kittanning, PA $90 $117 ★ 3/5 198 min 15.0%
St Clair Hospital Pittsburgh, PA $97 $106 ★ 4/5 195 min 15.5%
Advanced Surgical Hospital Washington, PA $97 $107 14.5%
Lower Bucks Hospital Bristol, PA $103 $109 ★ 3/5 154 min 15.2%
Roxborough Memorial Hospital Philadelphia, PA $103 $109 ★ 2/5 182 min 15.5%
Pennsylvania Psychiatric Institute Harrisburg, PA $107 $426
Jefferson Lansdale Hospital Lansdale, PA $119 $145 ★ 3/5 216 min 15.9%
Jefferson Health-Northeast Philadelphia, PA $119 $84 ★ 2/5 290 min 15.4%
Thomas Jefferson University Hospital Philadelphia, PA $119 $149 ★ 3/5 253 min 16.2%
Holy Redeemer Hospital and Medical Center Meadowbrook, PA $125 $111 ★ 3/5 197 min 15.6%
Penn State Health Holy Spirit Medical Center Camp Hill, PA $150 $101 ★ 3/5 250 min 15.3%
Pottstown Hospital Pottstown, PA $154 $402 ★ 2/5 200 min 15.4%
Phoenixville Hospital Phoenixville, PA $154 $325 ★ 3/5 178 min 15.5%
Penn State Health St. Joseph Reading, PA $163 $111 ★ 3/5 216 min 15.6%
UPMC Kane Kane, PA $168 $154 95 min
UPMC Jameson New Castle, PA $169 $150 ★ 3/5 172 min 15.4%
Penn State Health Lancaster Medical Center Lancaster, PA $181 $99 ★ 3/5 229 min 15.1%
Mount Nittany Medical Center State College, PA $188 $107 ★ 5/5 188 min 14.8%
Penn State Health Hampden Medical Center Enola, PA $197 $111 ★ 4/5 197 min 15.8%
Milton S Hershey Medical Center Hershey, PA $207 $101 ★ 4/5 253 min 15.3%
Mercy Catholic Medical Center-Mercy Fitzgerald Darby, PA $220 $674 ★ 2/5 213 min 15.0%
Nazareth Hospital Philadelphia, PA $220 $202 ★ 2/5 216 min 14.5%
UPMC Altoona Altoona, PA $227 $200 ★ 3/5 203 min 14.5%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$594
Cash / self-pay
$313
Insurer-negotiated
$199
Medicare pays
$101
$114$594
Median cash $313  ·  Medicare $101  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $313 — about 3.1× the Medicare rate ($101). On the higher side. A fair cash price is usually within ~2× Medicare ($201).

💡 Asking for the cash price instead of the $594 list price could save about $281 (47%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

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