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
RE-EVALUATION FOR OCCUPATIONAL THERAPY; TYPICALLY 30 MINUTES
Wheeling, WV
See all hospitals reporting CPT 97168 →Price type
Wheeling Hospital, Inc.’s median price of $67 is 38% below the median hospital's median price ($108), higher than 11% of the 2,455 hospitals reporting CPT 97168. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Aetna Better Health chip facility · fee schedule · outpatient | $47 | $47 | $6 | 13% | — | $41 – $52 |
| 4 | Highmark chip facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Highmark mgd mcaid facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 6 | Aetna better health mgd medicaid facility · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Anthem anthem pathway facility · other · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 8 | Caresource all plans facility · other · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 9 | Molina all plans facility · other · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 10 | Anthem hmo facility · other · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 11 | Highmark all pla facility · other · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 12 | Highmark all plans facility · other · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 13 | Aetna all plans facility · other · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 14 | Humana all plans facility · other · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 15 | UnitedHealthcare all plans facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 16 | Caresource caresource oh exchange facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 17 | Caresource managed medicaid facility · other · outpatient | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 18 | Molina managed medicaid facility · other · outpatient | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 19 | Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 20 | Blue Cross Blue Shield blue cross blue shield traditional facility · other · outpatient | $271 | $271 | — | — | — | $271 – $271 |
Last updated: Jul 9, 2026
See Occupational therapy re-evaluation and care plan update pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.