Occupational therapy re-evaluation and care plan update at Progress West Hospital

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 Ot Re-Eval

O'Fallon, MO

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How this price compares nationally

Progress West Hospital’s median price of $128 is 19% above the median hospital's median price ($107), higher than 59% of the 2,427 hospitals reporting CPT 97168. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97168 at Progress West Hospital

Negotiated rates from the hospital’s own file: 12 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	Aetna bjc hb medicare advantra pwc fee schedule · both	$68	$68	—	—	—	$68 – $68
2	Aetna bjc hb medicare gold advantage pwc fee schedule · both	$68	$68	—	—	—	$68 – $68
3	Blue Cross Blue Shield bjc hb medicare anthem advantage pwc fee schedule · both	$68	$68	—	—	—	$68 – $68
4	Humana bjc hb medicare humana pwc fee schedule · both	$68	$68	—	—	—	$68 – $68
5	UnitedHealthcare bjc hb medicare uhc pwc fee schedule · both	$68	$68	—	—	—	$68 – $68
6	Devoted bjc hb medicare devoted pwc fee schedule · both	$71	$71	—	—	—	$71 – $71
7	Medica bjc hb medicare wellfirst pwc fee schedule · both	$71	$71	—	—	—	$71 – $71
8	Humana bjc hb humana choicecare community percent of total billed charges · bothfrom % of charges	$95	$95	—	—	—	$95 – $95
9	Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges	$126	$126	—	—	—	$126 – $126
10	Aetna bjc hb first health percent of total billed charges · bothfrom % of charges	$126	$126	—	—	—	$126 – $126
11	First Health bjc hb first health percent of total billed charges · bothfrom % of charges	$126	$126	—	—	—	$126 – $126
12	UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges	$126	$126	—	—	—	$126 – $126
13	UnitedHealthcare bjc hb united health care community per diem · both	$127	$127	—	—	—	$127 – $127
14	Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges	$128	$128	—	—	—	$128 – $128
15	Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges	$128	$128	—	—	—	$128 – $128
16	MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges	$128	$128	—	—	—	$128 – $128
17	Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges	$128	$128	—	—	—	$128 – $128
18	Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$136	$136	—	—	—	$136 – $136
19	Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges	$136	$136	—	—	—	$136 – $136
20	Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges	$145	$145	—	—	—	$145 – $145
21	Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges	$145	$145	—	—	—	$145 – $145
22	Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges	$148	$148	—	—	—	$148 – $148
23	Magellan bjc hb mh magellan hmo/ppo 100% percent of total billed charges · bothfrom % of charges	$170	$170	—	—	—	$170 – $170
24	Blue Cross Blue Shield bjc hb anthem choice community per diem · both	$208	$208	—	—	—	$208 – $208
25	Blue Cross Blue Shield bjc hb anthem access community per diem · both	$216	$216	—	—	—	$216 – $216

Page 1 of 2 · 29 rates

Last updated: Dec 15, 2025

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