Occupational therapy evaluation (high complexity) cost in Pennsylvania

Prices at 94 hospitals in Pennsylvania, from their machine-readable files. Here the median cash price is $313 — 17% above the US median ($268), roughly 3.1× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Heritage Valley Beaver Beaver, PA $85 $97 ★ 3/5 185 min —
Heritage Valley Sewickley Sewickley, PA $85 $97 ★ 4/5 135 min —
Acmh Hospital Kittanning, PA $90 $117 ★ 3/5 195 min —
St Clair Hospital Pittsburgh, PA $97 $106 ★ 4/5 200 min —
Advanced Surgical Hospital Washington, PA $97 $107 — — —
Lower Bucks Hospital Bristol, PA $103 $109 ★ 3/5 150 min —
Roxborough Memorial Hospital Philadelphia, PA $103 $109 ★ 2/5 186 min —
Pennsylvania Psychiatric Institute Harrisburg, PA $107 $426 — — —
Jefferson Lansdale Hospital Lansdale, PA $119 $145 ★ 3/5 234 min —
Jefferson Health-Northeast Philadelphia, PA $119 $84 ★ 2/5 316 min —
Thomas Jefferson University Hospital Philadelphia, PA $119 $149 ★ 3/5 236 min —
Penn State Health Holy Spirit Medical Center Camp Hill, PA $150 $101 ★ 3/5 252 min —
Pottstown Hospital Pottstown, PA $154 $402 ★ 2/5 195 min —
Phoenixville Hospital Phoenixville, PA $154 $325 ★ 3/5 178 min —
Penn State Health St. Joseph Reading, PA $163 $111 ★ 3/5 232 min —
UPMC Kane Kane, PA $168 $154 — 102 min —
UPMC Jameson New Castle, PA $169 $150 ★ 3/5 169 min —
Penn State Health Lancaster Medical Center Lancaster, PA $181 $99 ★ 3/5 231 min —
Holy Redeemer Hospital and Medical Center Meadowbrook, PA $187 $110 ★ 3/5 195 min —
Mount Nittany Medical Center State College, PA $188 $107 ★ 5/5 188 min —
Penn State Health Hampden Medical Center Enola, PA $197 $111 ★ 4/5 196 min —
Milton S Hershey Medical Center Hershey, PA $207 $101 ★ 4/5 261 min —
Mercy Catholic Medical Center-Mercy Fitzgerald Darby, PA $220 $674 ★ 2/5 223 min —
Nazareth Hospital Philadelphia, PA $220 $202 ★ 2/5 222 min —
UPMC Altoona Altoona, PA $227 $200 ★ 3/5 210 min —

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 October 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)
$581
Cash / self-pay
$313
Insurer-negotiated
$199
Medicare pays
$101
$119$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 $581 list price could save about $268 (46%).

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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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