Occupational therapy re-evaluation and care plan update at Ascension Seton

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OT RE-EVAL EST PLAN CARE

Austin, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $94 is 12% below the median hospital's median price ($108), higher than 42% of the 2,423 hospitals reporting CPT 97168. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97168 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$67	$67	—	—	—	$67 – $67
2	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$67	$67	—	—	—	$67 – $67
3	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$67	$67	—	—	—	$67 – $67
4	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$67	$67	—	—	—	$67 – $67
5	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$67	$67	—	—	—	$67 – $67
6	Tricare 4696_tricare inpatient 20251001 other · inpatient	$67	$67	—	—	—	$67 – $67
7	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$67	$67	—	—	—	$67 – $67
8	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$67	$67	—	—	—	$67 – $67
9	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$69	$69	—	—	—	$69 – $69
10	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$69	$69	—	—	—	$69 – $69
11	Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
12	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
13	Aetna 4489_aetna aco hmo 20250801 fee schedule · both	$116	$116	—	—	—	$116 – $116
14	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both	$116	$116	—	—	—	$116 – $116
15	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$121	$121	—	—	—	$121 – $121
16	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$121	$121	—	—	—	$121 – $121
17	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$217	$217	—	—	—	$217 – $217
18	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$217	$217	—	—	—	$217 – $217
19	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
20	Aetna 4335_aetna sha aisd 20250101 other · outpatient	$242	$242	—	—	—	$242 – $242
21	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$265	$265	—	—	—	$265 – $265
22	Aetna 4486_aetna hmo 20250801 other · outpatient	$302	$302	—	—	—	$302 – $302

Last updated: Jan 1, 2026

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