Physical therapy high-complexity evaluation, 45 minutes at Affinity Hospital LLC

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

PT EVAL- HGH CMP PTA

Birmingham, AL

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How this price compares nationally

Affinity Hospital LLC’s median price of $204 is 21% above the median hospital's median price ($169), higher than 60% of the 2,582 hospitals reporting CPT 97163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97163 at Affinity Hospital LLC

Negotiated rates from the hospital’s own file: 13 payers, 22 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	Bcbs Al bcbs al all facility · other · outpatient	$62	$62	—	—	—	$62 – $62
2	Tricare node tricare facility · fee schedule · outpatient	$87	$87	—	—	—	$87 – $87
3	Humana node humana mcr adv facility · fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
4	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$91	$91	—	—	—	$91 – $91
5	Optum node united optum va ccn facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
6	Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
7	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
8	Clover node clover health mcr adv facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
9	Aetna node aetna mcr adv facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
10	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
11	WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
12	UnitedHealthcare uhc iex facility · per diem · outpatient	$146	$146	—	—	—	$146 – $146
13	First Health first health work comp al facility · other · outpatient	$161	$161	—	—	—	$161 – $161
14	Cigna cigna all facility · per diem · outpatient	$171	$171	—	—	—	$171 – $171
15	UnitedHealthcare uhc apa facility · per diem · outpatient	$217	$217	—	—	—	$217 – $217
16	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$262	$262	$4	1%	—	$258 – $265
17	Optum optum health facility · percent of total billed charges · outpatientfrom % of charges	$423	$423	$6	1%	—	$418 – $429
18	First Health first health facility · other · outpatient	$565	$565	$8	1%	—	$557 – $572
19	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$574	$574	$8	1%	—	$566 – $582
20	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$583	$583	$8	1%	—	$575 – $591
21	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$659	$659	$9	1%	—	$650 – $668
22	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$659	$659	$9	1%	—	$650 – $668

Last updated: Apr 1, 2026

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