Occupational therapy re-evaluation and care plan update at Mercy Perry

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

Ot Re-Eval 75 Min

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $149 is 38% above the median hospital's median price ($108), higher than 69% 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 Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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 hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$47	$47	$21	45%	—	$12 – $82
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
3	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
5	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$43	45%	—	$25 – $166
6	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$43	45%	—	$25 – $166
7	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$43	45%	—	$25 – $166
8	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$43	45%	—	$25 – $166
9	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$43	45%	—	$25 – $166
10	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	$43	45%	—	$25 – $166
11	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$98	$97	$44	45%	—	$25 – $169
12	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$99	$99	$45	45%	—	$26 – $173
13	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$99	$99	$45	45%	—	$26 – $173
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	$52	45%	—	$30 – $198
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$132	$132	$60	45%	—	$34 – $229
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	$68	45%	—	$39 – $259
17	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	$68	45%	—	$39 – $259
18	Blue Cross Blue Shield hb pcmh anthem traditional facility · per diem · outpatient	$176	$176	—	—	—	$176 – $176
19	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$179	$179	$81	45%	—	$47 – $311
20	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	$93	45%	—	$54 – $358
21	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	$93	45%	—	$54 – $358
22	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$208	$207	$94	45%	—	$54 – $360
23	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$208	$207	$94	45%	—	$54 – $360
24	Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges	$234	$234	$106	45%	—	$61 – $407
25	MultiPlan hb pcmh multiplan facility · percent of total billed charges · outpatientfrom % of charges	$252	$251	$114	45%	—	$66 – $437

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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