Occupational therapy evaluation, moderate complexity, 45 minutes at Wheeling Hospital, Inc.

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

EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 45 MINUTES

Wheeling, WV

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How this price compares nationally

Wheeling Hospital, Inc.’s median price of $99 is 41% below the median hospital's median price ($167), higher than 11% of the 2,556 hospitals reporting CPT 97166. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97166 at Wheeling Hospital, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 25 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	Highmark highmark wholecare pennsylvania medicaid facility · other · outpatient	$61	$61	—	—	—	$61 – $61
2	UnitedHealthcare unison kids facility · fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
3	Aetna Better Health chip facility · fee schedule · outpatient	$69	$69	$7	11%	—	$62 – $76
4	Highmark chip facility · fee schedule · outpatient	$75	$75	—	—	—	$75 – $75
5	Highmark mgd mcaid facility · fee schedule · outpatient	$75	$75	—	—	—	$75 – $75
6	Highmark mgd mcaid facility · other · outpatient	$75	$75	—	—	1–10	$75 – $75
7	Aetna better health mgd medicaid facility · fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
8	Aetna better health mgd medicaid facility · other · outpatient	$76	$76	—	—	1–10	$76 – $76
9	Caresource managed medicaid facility · other · outpatient	$80	$80	—	—	11	$80 – $80
10	Anthem managed medicaid facility · other · outpatient	$83	$83	—	—	1–10	$83 – $83
11	Anthem anthem pathway facility · other · outpatient	$94	$94	—	—	—	$94 – $94
12	Caresource all plans facility · other · outpatient	$94	$94	—	—	—	$94 – $94
13	Molina all plans facility · other · outpatient	$94	$94	—	—	—	$94 – $94
14	Anthem hmo facility · other · outpatient	$97	$97	—	—	—	$97 – $97
15	Highmark all pla facility · other · outpatient	$97	$97	—	—	—	$97 – $97
16	Highmark all plans facility · other · outpatient	$98	$98	—	—	—	$98 – $98
17	Aetna all plans facility · other · outpatient	$99	$99	—	—	—	$99 – $99
18	Humana all plans facility · other · outpatient	$99	$99	—	—	—	$99 – $99
19	UnitedHealthcare all plans facility · other · outpatient	$103	$103	—	—	—	$103 – $103
20	Caresource caresource oh exchange facility · other · outpatient	$104	$104	—	—	—	$104 – $104
21	Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient	$399	$399	—	—	—	$399 – $399
22	Blue Cross Blue Shield blue cross blue shield traditional facility · other · outpatient	$399	$399	—	—	—	$399 – $399
23	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$401	$401	—	—	1–10	$401 – $401
24	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$425	$425	—	—	1–10	$425 – $425
25	UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges	$437	$437	—	—	1–10	$437 – $437

Last updated: Jul 9, 2026

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