Occupational therapy re-evaluation and care plan update at Sanford Wheaton

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 EST PLAN CARE 97168

Wheaton, MN

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How this price compares nationally

Sanford Wheaton’s median price of $252 is 134% above the median hospital's median price ($108), higher than 92% 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 Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 26 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 Mn pmap percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
2	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$146	$146	—	—	—	$146 – $146
3	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
4	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
5	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
6	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
7	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$200	$200	—	—	—	$200 – $200
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$229	$229	—	—	—	$229 – $229
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$229	$229	—	—	—	$229 – $229
10	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
11	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$252	$252	—	—	—	$252 – $252
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$252	$252	—	—	—	$252 – $252
14	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$255	$255	—	—	—	$255 – $255
15	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$255	$255	—	—	—	$255 – $255
16	Medica choice percent of total billed charges · outpatientfrom % of charges	$255	$255	—	—	—	$255 – $255
17	Medica choice percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$261	$261	—	—	—	$261 – $261
19	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$261	$261	—	—	—	$261 – $261
20	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$268	$268	—	—	—	$268 – $268
21	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
23	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
24	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$269	$269	—	—	—	$269 – $269
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$273	$273	—	—	—	$273 – $273

Page 1 of 2 · 26 rates

Last updated: Mar 4, 2026

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