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.
Original text from hospital filings
HC OCCUP THERAPY EVAL-LOW COMPLEXITY
Lancaster, PA
See all hospitals reporting CPT 97165 →Price type
Lancaster General Health’s median price of $97 is 38% below the median hospital's median price ($155), higher than 9% of the 2,514 hospitals reporting CPT 97165. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 34 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $54.60 | $54.60 | $54.60 – $54.60 |
| 2 | Medicaid medicaid facility · fee schedule · outpatient | $61.73 | $61.73 | $61.73 – $61.73 |
| 3 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $67.90 | $67.90 | $67.90 – $67.90 |
| 4 | Tricare tricare facility · fee schedule · outpatient | $87.20 | $71.04 | $46.20 – $87.20 |
| 5 | Highmark highmark chip facility · other · outpatient | $120.26 | $87.77 | $37.34 – $122.68 |
| 6 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $95.92 | $88.44 | $76.23 – $95.92 |
| 7 | Medicare medicare facility · fee schedule · outpatient | $96.89 | $89.33 | $77.00 – $96.89 |
| 8 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $96.89 | $89.33 | $77.00 – $96.89 |
| 9 | Aetna aetna medicare advantage facility · other · outpatient | $97.86 | $90.23 | $77.77 – $97.86 |
| 10 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $98.34 | $90.67 | $78.15 – $98.34 |
| 11 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $98.83 | $91.12 | $78.54 – $98.83 |
| 12 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $98.83 | $91.12 | $78.54 – $98.83 |
| 13 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $99.80 | $92.02 | $79.31 – $99.80 |
| 14 | Devoted devoted health medicare advantage facility · other · outpatient | $101.73 | $93.80 | $80.85 – $101.73 |
| 15 | Highmark highmark aca facility · other · outpatient | $144.52 | $105.48 | $44.87 – $147.43 |
| 16 | Highmark highmark commercial preferred facility · other · outpatient | $165.92 | $121.09 | $51.51 – $169.26 |
| 17 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $167.90 | $122.54 | $52.13 – $171.28 |
| 18 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $187.19 | $136.62 | $58.12 – $190.96 |
| 19 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $200.46 | $146.30 | $62.24 – $204.50 |
| 20 | Highmark highmark commercial facility · other · outpatient | $206.44 | $150.67 | $64.10 – $210.60 |
| 21 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $207.50 | $151.44 | $64.43 – $211.69 |
| 22 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $210.80 | $153.85 | $65.45 – $215.05 |
| 23 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $210.80 | $153.85 | $65.45 – $215.05 |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $210.80 | $153.85 | $65.45 – $215.05 |
| 25 | Oscar oscar health plan facility · other · outpatient | $188.94 | $174.20 | $150.15 – $188.94 |
Last updated: Mar 31, 2026
See Occupational therapy evaluation, low complexity, 30 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.