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-MODERATE COMPLEXITY
Lancaster, PA
See all hospitals reporting CPT 97166 →Price type
Lancaster General Health’s median price of $109 is 35% below the median hospital's median price ($167), higher than 26% of the 2,556 hospitals reporting CPT 97166. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 2 | Medicaid medicaid facility · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 4 | Tricare tricare facility · fee schedule · outpatient | $87 | $83 | $5 | 6% | — | $77 – $87 |
| 5 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 6 | Medicare medicare facility · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 7 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 8 | Aetna aetna medicare advantage facility · other · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 9 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 11 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 12 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 13 | Devoted devoted health medicare advantage facility · other · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 14 | Highmark highmark chip facility · other · outpatient | $150 | $116 | $43 | 37% | — | $62 – $153 |
| 15 | Highmark highmark aca facility · other · outpatient | $181 | $139 | $52 | 37% | — | $75 – $184 |
| 16 | Highmark highmark commercial preferred facility · other · outpatient | $207 | $160 | $60 | 37% | — | $86 – $211 |
| 17 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $210 | $162 | $61 | 37% | — | $87 – $214 |
| 18 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $234 | $180 | $68 | 37% | — | $97 – $239 |
| 19 | Oscar oscar health plan facility · other · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 20 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $251 | $193 | $72 | 37% | — | $103 – $255 |
| 21 | Highmark highmark commercial facility · other · outpatient | $258 | $199 | $74 | 37% | — | $107 – $263 |
| 22 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $259 | $200 | $75 | 37% | — | $107 – $264 |
| 23 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $264 | $203 | $76 | 37% | — | $109 – $269 |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $264 | $203 | $76 | 37% | — | $109 – $269 |
| 25 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $264 | $203 | $76 | 37% | — | $109 – $269 |
Last updated: Mar 31, 2026
See Occupational therapy evaluation, moderate complexity, 45 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.