Physical therapy evaluation

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

ROP PT EVALUATION 15 MINUTES

Payers reporting CPT 97001

Payer pricing summary

Low

$30

Average

$23.7k

Median

$224

High

$379.5k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	42	$198	$202	$112	55%	—	$28 – $511
2	UnitedHealthcare fee schedule · outpatient · +19 other terms	24	$113	$176	$134	76%	—	$26 – $499
3	Aetna fee schedule · outpatient · +17 other terms	15	$338	$270	$111	41%	—	$36 – $338
4	MultiPlan fee schedule · outpatient · +9 other terms	14	$170	$149	$44	30%	—	$74 – $199
5	Medica fee schedule · outpatient · +2 other terms	12	$159	$124	$50	41%	—	$26 – $196
6	Humana fee schedule · outpatient · +12 other terms	11	$105	$886	$2.2k	243%	—	$26 – $8.3k
7	Phcs fee schedule · inpatient · +10 other terms	10	$142	$128	$36	28%	—	$74 – $177
8	Tricare fee schedule · outpatient · +4 other terms	10	$76	$76	—	—	—	$76 – $76
9	Cigna per diem · inpatient · +19 other terms	7	$275	$258	$114	44%	—	$48 – $517
10	First Health fee schedule · both · +6 other terms	5	$85	$85	—	—	—	$85 – $85
11	Ambetter per diem · inpatient · +6 other terms	4	$246	$255	$116	45%	—	$48 – $517
12	Anthem case rate · outpatient · +14 other terms	4	$378	$345	$185	54%	—	$59 – $630
13	Kaiser fee schedule · both · +7 other terms	3	$131	$104	$38	37%	—	$50 – $131
14	Medcost professional · percent of total billed charges · inpatientfrom % of charges · +3 other terms	3	$262	$262	—	—	—	$262 – $262
15	Molina fee schedule · outpatient · +4 other terms	3	$244	$222	$88	40%	—	$36 – $323
16	WellCare case rate · inpatient · +3 other terms	3	$216	$249	$118	48%	—	$49 – $517
17	Wellmark facility · per diem · inpatient · +1 other terms	3	$1.8k	$1.7k	$934	55%	—	$928 – $3.0k
18	Aetna Better Health fee schedule · inpatient	2	$224	$224	—	—	—	$224 – $224
19	Bcbs Ks percent of total billed charges · outpatientfrom % of charges	2	$171	$171	—	—	—	$171 – $171
20	Bcbs Ok per diem · inpatient	2	$275	$275	$118	43%	—	$61 – $501
21	Caresource fee schedule · outpatient · +3 other terms	2	$164	$214	$139	65%	—	$36 – $447
22	Devoted case rate · inpatient · +2 other terms	2	$214	$214	$97	45%	—	$49 – $404
23	Excellus fee schedule · outpatient · +1 other terms	2	$198	$197	$96	49%	—	$39 – $323
24	Healthcare Highways percent of total billed charges · inpatientfrom % of charges	2	$206	$206	$89	43%	—	$46 – $376
25	Magellan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	2	$280	$355	$157	44%	—	$122 – $608

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