HC OT EVALUATION - CORPORATE at Lancaster General Health

Lancaster, PA

Pricing by billing methodology

Price type

How this price compares nationally

Lancaster General Health’s median price of $123 is 28% below the median hospital's median price ($172), higher than 32% of the 224 hospitals reporting CPT 97003. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97003 at Lancaster General Health

Negotiated rates from the hospital’s own file: 8 payers, 26 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	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$37	$37	$12	32%	—	$25 – $49
2	Aetna aetna medicare advantage facility · other · outpatient	$43	$43	$14	32%	—	$30 – $57
3	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$44	$44	$14	32%	—	$30 – $58
4	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	$19	32%	—	$41 – $79
5	Devoted devoted health medicare advantage facility · other · outpatient	$74	$74	$24	32%	—	$50 – $97
6	Highmark highmark chip facility · other · outpatient	$89	$89	$29	32%	—	$61 – $118
7	Oscar oscar health plan facility · other · outpatient	$90	$90	$29	32%	—	$61 – $119
8	Highmark highmark aca facility · other · outpatient	$107	$107	$34	32%	—	$73 – $142
9	Highmark highmark commercial preferred facility · other · outpatient	$123	$123	$39	32%	—	$84 – $163
10	Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	$40	32%	—	$85 – $165
11	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$139	$139	$45	32%	—	$94 – $183
12	Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	$48	32%	—	$101 – $196
13	Highmark highmark commercial facility · other · outpatient	$153	$153	$49	32%	—	$104 – $202
14	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$154	$154	$49	32%	—	$105 – $203
15	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$156	$156	$50	32%	—	$106 – $207
16	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$156	$156	$50	32%	—	$106 – $207
17	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	$50	32%	—	$106 – $207
18	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$184	$184	$59	32%	—	$125 – $243
19	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$184	$184	$59	32%	—	$125 – $243
20	Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges	$184	$184	$59	32%	—	$125 – $243
21	Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges	$184	$184	$59	32%	—	$125 – $243
22	Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges	$184	$184	$59	32%	—	$125 – $243
23	Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges	$184	$184	$59	32%	—	$125 – $243
24	Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges	$184	$184	$59	32%	—	$125 – $243
25	Highmark highmark commercial non-preferred facility · other · outpatient	$186	$186	$59	32%	—	$126 – $245

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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