Occupational therapy evaluation, moderate complexity, 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

OT EVAL- MOD CMP OT

Birmingham, AL

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How this price compares nationally

Affinity Hospital LLC’s median price of $204 is 22% above the median hospital's median price ($167), higher than 61% of the 2,556 hospitals reporting CPT 97166. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97166 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	$48	$48	—	—	—	$48 – $48
2	Tricare node tricare facility · fee schedule · outpatient	$89	$89	—	—	—	$89 – $89
3	Humana node humana mcr adv facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
4	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$93	$93	—	—	—	$93 – $93
5	Optum node united optum va ccn facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
6	Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
7	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
8	Clover node clover health mcr adv facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
9	Aetna node aetna mcr adv facility · fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
10	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
11	First Health first health work comp al facility · other · outpatient	$128	$128	—	—	—	$128 – $128
12	WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
13	UnitedHealthcare uhc iex facility · per diem · outpatient	$146	$146	—	—	—	$146 – $146
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	$276	$276	$4	1%	—	$273 – $280
17	Optum optum health facility · percent of total billed charges · outpatientfrom % of charges	$448	$448	$6	1%	—	$441 – $454
18	First Health first health facility · other · outpatient	$597	$597	$8	1%	—	$589 – $605
19	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$607	$607	$8	1%	—	$598 – $615
20	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$617	$617	$8	1%	—	$608 – $625
21	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$696	$696	$9	1%	—	$687 – $706
22	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$696	$696	$9	1%	—	$687 – $706

Last updated: Apr 1, 2026

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