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 97161 · CENTER VALLEY, PA

97161 — Pt Eval Low Complex 20 Min

What each payer pays Good Shepherd Rehabilitation Hospital, The (CCN 393035) 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.

$94 All-payer median here
$130 Cash / self-pay here
22 payer/plan-name variants
← This hospital National rates for 97161 →
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 $633 574.0% 3
Independence BCBS $633 574.0% 2
AMERIHEALTH NEW JERSEY (NON-HMO) $633 574.0% 2
UnitedHealthcare $433 361.7% 1
Highmark BCBS $332 253.7% 2
Capital BCBS $229 144.3% 2
Cigna Healthcare $121 29.1% 2
Clover Health $94 0.0% 1
PA Health and Wellness $94 0.0% 3
Choice Care $94 0.0% 1
Medicare (Generic) $94 0.0% 1
Everyday LIFE $94 0.0% 1
Humana $92 -2.5% 2
DEVON HEALTH $84 -10.0% 1
Geisinger Health Plan $80 -15.3% 3
Highmark $71 -23.9% 2
UPMC Health Plan $71 -24.3% 4
MultiPlan $66 -30.0% 1
CarePlus (Encounters) $66 -30.0% 1
Lehigh Valley Health Network $56 -40.0% 1
Keystone First $44 -53.4% 3
AmeriHealth Caritas PA $44 -53.4% 3

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.