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 · CENTER VALLEY, PA

97166 — Ot Eval Mod Complex 45 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.

$96 All-payer median here
$130 Cash / self-pay here
22 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 $633 557.2% 3
Independence BCBS $633 557.2% 2
AMERIHEALTH NEW JERSEY (NON-HMO) $633 557.2% 2
UnitedHealthcare $433 350.2% 1
Highmark BCBS $332 244.9% 2
Capital BCBS $229 138.2% 2
Cigna Healthcare $122 27.1% 2
Clover Health $96 0.0% 1
PA Health and Wellness $96 0.0% 3
Choice Care $96 0.0% 1
Medicare (Generic) $96 0.0% 1
Everyday LIFE $96 0.0% 1
Humana $94 -2.5% 2
DEVON HEALTH $87 -10.0% 1
Geisinger Health Plan $77 -19.9% 3
Highmark $73 -24.6% 2
UPMC Health Plan $72 -24.9% 4
MultiPlan $67 -30.0% 1
CarePlus (Encounters) $67 -30.0% 1
Lehigh Valley Health Network $58 -40.0% 1
Keystone First $44 -54.6% 3
AmeriHealth Caritas PA $44 -54.6% 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.