Occupational therapy re-evaluation and care plan update at Lancaster General Health

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC OCCUP THERAPY RE-EVAL

Lancaster, PA

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Pricing by billing methodology

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How this price compares nationally

Lancaster General Health’s median price of $76 is 30% below the median hospital's median price ($108), higher than 30% of the 2,455 hospitals reporting CPT 97168. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97168 at Lancaster General Health

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	Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
2	Medicaid medicaid facility · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
3	UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient	$45	$45	—	—	—	$45 – $45
4	Tricare tricare facility · fee schedule · outpatient	$58	$58	$2	4%	—	$55 – $60
5	Highmark highmark chip facility · other · outpatient	$64	$64	$19	30%	—	$45 – $84
6	Highmark highmark medicare advantage facility · fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
7	Medicare medicare facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
8	UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
9	Aetna aetna medicare advantage facility · other · outpatient	$67	$67	—	—	—	$67 – $67
10	Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
11	Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
12	Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient	$68	$68	—	—	—	$68 – $68
13	Cigna Healthspring cigna healthspring facility · fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
14	Devoted devoted health medicare advantage facility · other · outpatient	$70	$70	—	—	—	$70 – $70
15	Highmark highmark aca facility · other · outpatient	$77	$77	$23	30%	—	$54 – $101
16	Highmark highmark commercial preferred facility · other · outpatient	$88	$88	$26	30%	—	$62 – $116
17	Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$89	$90	$27	30%	—	$62 – $117
18	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$100	$100	$30	30%	—	$69 – $131
19	Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges	$107	$107	$32	30%	—	$74 – $140
20	Highmark highmark commercial facility · other · outpatient	$110	$110	$33	30%	—	$77 – $144
21	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$110	$111	$33	30%	—	$77 – $145
22	Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges	$112	$112	$33	30%	—	$78 – $147
23	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$112	$112	$33	30%	—	$78 – $147
24	UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	$33	30%	—	$78 – $147
25	Oscar oscar health plan facility · other · outpatient	$130	$130	—	—	—	$130 – $130

Page 1 of 2 · 34 rates

Last updated: Mar 31, 2026

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See Occupational therapy re-evaluation and care plan update pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.