HC OCCUPATIONAL THERAPY RE-EVAL at Lancaster General Health

Lancaster, PA

Pricing by billing methodology

Price type

How this price compares nationally

Lancaster General Health’s median price of $139 is 25% above the median hospital's median price ($111), higher than 65% of the 175 hospitals reporting CPT 97004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97004 at Lancaster General Health

Negotiated rates from the hospital’s own file: 10 payers, 28 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	Medicaid medicaid facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
2	Amerihealth Caritas amerihealth caritas medicaid hmo facility · fee schedule · outpatient	$20	$20	—	—	—	$20 – $20
3	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$33	$33	—	—	—	$33 – $33
4	Aetna aetna medicare advantage facility · other · outpatient	$39	$39	—	—	—	$39 – $39
5	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$40	$40	—	—	—	$40 – $40
6	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
7	Devoted devoted health medicare advantage facility · other · outpatient	$67	$67	—	—	—	$67 – $67
8	Highmark highmark chip facility · other · outpatient	$81	$81	—	—	—	$81 – $81
9	Oscar oscar health plan facility · other · outpatient	$82	$82	—	—	—	$82 – $82
10	Highmark highmark aca facility · other · outpatient	$97	$97	—	—	—	$97 – $97
11	Highmark highmark commercial preferred facility · other · outpatient	$112	$112	—	—	—	$112 – $112
12	Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
13	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
14	Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
15	Highmark highmark commercial facility · other · outpatient	$139	$139	—	—	—	$139 – $139
16	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	—	—	—	$140 – $140
17	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
18	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
19	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
20	Highmark highmark aca facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
21	Highmark highmark chip facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
22	Highmark highmark commercial facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
23	Highmark highmark commercial non-preferred facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
24	Highmark highmark commercial preferred facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167
25	Magellan magellan facility · percent of total billed charges · inpatientfrom % of charges	$167	$167	—	—	—	$167 – $167

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Last updated: Mar 31, 2026

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