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-HIGH COMPLEXITY
Lancaster, PA
See all hospitals reporting CPT 97167 →Price type
Lancaster General Health’s median price of $248 is 43% above the median hospital's median price ($174), higher than 69% of the 2,504 hospitals reporting CPT 97167. 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 | Medicaid medicaid facility · fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 3 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 4 | Tricare tricare facility · fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $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 | Oscar oscar health plan facility · other · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 15 | Highmark highmark chip facility · other · outpatient | $188 | $189 | $2 | 1% | — | $188 – $192 |
| 16 | Highmark highmark aca facility · other · outpatient | $226 | $228 | $2 | 1% | — | $226 – $231 |
| 17 | Highmark highmark commercial preferred facility · other · outpatient | $260 | $261 | $3 | 1% | — | $260 – $265 |
| 18 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $263 | $264 | $3 | 1% | — | $263 – $268 |
| 19 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $293 | $295 | $3 | 1% | — | $293 – $299 |
| 20 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $314 | $316 | $3 | 1% | — | $314 – $320 |
| 21 | Highmark highmark commercial facility · other · outpatient | $323 | $325 | $3 | 1% | — | $323 – $330 |
| 22 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $325 | $327 | $3 | 1% | — | $325 – $331 |
| 23 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $330 | $332 | $3 | 1% | — | $330 – $337 |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $330 | $332 | $3 | 1% | — | $330 – $337 |
| 25 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $330 | $332 | $3 | 1% | — | $330 – $337 |
Last updated: Mar 31, 2026
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