OT RE-EVAL ESTABLISHED POC at Samaritan Medical Center

Watertown, NY

See all hospitals reporting CPT 97168-GO →

Pricing by billing methodology

Price type

Payers reporting CPT 97168-GO at Samaritan Medical Center

Negotiated rates from the hospital’s own file: 4 payers, 7 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	Excellus medicare advantage facility · case rate · outpatient	$67	$67	—	—	—	$67 – $67
2	WellCare medicare advantage facility · case rate · outpatient	$67	$67	—	—	—	$67 – $67
3	Aetna medicare advantage facility · case rate · outpatient	$68	$68	—	—	—	$68 – $68
4	UnitedHealthcare medicare advantage facility · case rate · outpatient	$69	$69	—	—	—	$69 – $69
5	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
6	UnitedHealthcare commercial facility · case rate · outpatient	$275	$275	—	—	—	$275 – $275
7	Excellus commercial facility · case rate · outpatient	$306	$306	—	—	—	$306 – $306

Last updated: Feb 2, 2026

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