Occupational therapy evaluation (moderate complexity) cost in Texas
Prices at 171 hospitals in Texas, from their machine-readable files. Here the median cash price is $236 — about the US median ($242), roughly 2.3× the Medicare rate.
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)
$450
Cash / self-pay
$236
Insurer-negotiated
$158
Medicare pays
$101
$112$874
Median cash $236 · Medicare $101 · bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+
Typical cash price here is $236 — about 2.3× 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 $450 list price could save about $214 (48%).
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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.
