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 OT EVAL LOW COMPLEXITY 30 MIN
Philadelphia, PA
See all hospitals reporting CPT 97165 →Price type
Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center’s median price of $279 is 80% above the median hospital's median price ($155), higher than 84% 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: 15 payers, 35 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 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $103.53 | $103.53 | $103.53 – $103.53 |
| 2 | Medicare medicare facility · fee schedule · outpatient | $103.53 | $103.53 | $103.53 – $103.53 |
| 3 | Tricare tricare facility · fee schedule · outpatient | $104.65 | $104.65 | $104.65 – $104.65 |
| 4 | Highmark highmark medicare advantage facility · other · outpatient | $105.60 | $105.60 | $105.60 – $105.60 |
| 5 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $106.64 | $106.64 | $106.64 – $106.64 |
| 6 | Humana humana medicare facility · fee schedule · outpatient | $106.64 | $106.64 | $106.64 – $106.64 |
| 7 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $109.74 | $109.74 | $109.74 – $109.74 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $109.74 | $109.74 | $109.74 – $109.74 |
| 9 | Clover clover health plan facility · other · outpatient | $111.81 | $111.81 | $111.81 – $111.81 |
| 10 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $121.61 | $121.61 | $121.61 – $121.61 |
| 11 | Cigna cigna new business facility · per diem · outpatient | $135.00 | $135.00 | $135.00 – $135.00 |
| 12 | Oscar oscar health plan facility · other · outpatient | $176.00 | $176.00 | $176.00 – $176.00 |
| 13 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $179.55 | $179.55 | $179.55 – $179.55 |
| 14 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $210.61 | $210.61 | $210.61 – $210.61 |
| 15 | UnitedHealthcare unitedhealthcare new business facility · per diem · outpatient | $214.00 | $214.00 | $214.00 – $214.00 |
| 16 | Highmark highmark facility · other · outpatient | $217.71 | $217.71 | $217.71 – $217.71 |
| 17 | UnitedHealthcare unitedhealthcare non options facility · per diem · outpatient | $222.00 | $222.00 | $222.00 – $222.00 |
| 18 | Aetna aetna commercial facility · fee schedule · outpatient | $279.30 | $279.30 | $279.30 – $279.30 |
| 19 | Aetna aetna commercial hmo with capitation facility · case rate · outpatient | $279.30 | $279.30 | $279.30 – $279.30 |
| 20 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $280.67 | $280.67 | $280.67 – $280.67 |
| 21 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $280.67 | $280.67 | $280.67 – $280.67 |
| 22 | Aetna aetna hmo facility · case rate · outpatient | $332.50 | $332.50 | $332.50 – $332.50 |
| 23 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $332.50 | $332.50 | $332.50 – $332.50 |
| 24 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $332.50 | $332.50 | $332.50 – $332.50 |
| 25 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · outpatientfrom % of charges | $339.15 | $339.15 | $339.15 – $339.15 |
Last updated: Mar 19, 2026
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