Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CPT 97166 · BOSTON, MA

97166 — Ot Eval Mod Complex 45 Min

What each payer pays Hebrew Rehabilitation Center (CCN 222007) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$115 All-payer median here
$123 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 97166 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Aetna $115 0.0% 4
Anthem (Elevance Health) $115 0.0% 2
BC Medicare $115 0.0% 1
BCBS MCR $115 0.0% 1
BCBS of Massachusetts $115 0.0% 1
Blue Cross Blue Shield Association $115 0.0% 1
CCA $115 0.0% 2
CCA Medicare $115 0.0% 1
Harvard Pilgrim Health Care $115 0.0% 3
HPHC MCR $115 0.0% 1
Humana $115 0.0% 2
Mass General Brigham Incorporated $115 0.0% 2
Tufts Health Plan $115 0.0% 4
UnitedHealthcare $115 0.0% 5

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.