Physical therapy evaluation, low complexity at AMH Cath Labs 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

INITIAL EVAL LOW COMP LEVEL 4

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $173 is 15% above the median hospital's median price ($150), higher than 58% of the 2,543 hospitals reporting CPT 97161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97161 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$30.45	$31.95	$18.38 – $48.53
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$30.45	$31.95	$18.38 – $48.53
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$31.99	$33.57	$19.31 – $50.98
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$32.88	$34.50	$19.84 – $52.40
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$33.50	$35.15	$20.22 – $53.38
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$95.48	$95.48	$95.48 – $95.48
7	Humana medicare advantage case rate · outpatient	$99.30	$99.30	$99.30 – $99.30
8	Humana medicare advantage ppo case rate · outpatient	$99.30	$99.30	$99.30 – $99.30
9	Molina medicare advantage case rate · outpatient	$100.26	$100.26	$100.26 – $100.26
10	WellCare medicare advantage hmo case rate · outpatient	$100.26	$100.26	$100.26 – $100.26
11	WellCare medicare advantage mmp case rate · outpatient	$105.03	$105.03	$105.03 – $105.03
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$105.98	$105.98	$105.98 – $105.98
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$107.89	$107.89	$107.89 – $107.89
14	Blue Cross Blue Shield exchange fee schedule · outpatient	$126.88	$126.88	$126.88 – $126.88
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$140.48	$147.41	$84.79 – $223.88
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$187.32	$196.55	$113.06 – $298.52
17	Blue Cross Blue Shield hmo fee schedule · outpatient	$241.22	$241.22	$241.22 – $241.22
18	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$237.78	$249.51	$143.52 – $378.95
19	Aetna asa percent of total billed charges · outpatientfrom % of charges	$239.83	$251.66	$144.76 – $382.22
20	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$239.83	$251.66	$144.76 – $382.22
21	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$254.89	$267.46	$153.84 – $406.21
22	Blue Cross Blue Shield ppo fee schedule · outpatient	$268.03	$268.03	$268.03 – $268.03
23	UnitedHealthcare all payer case rate · outpatient	$308.00	$308.00	$308.00 – $308.00
24	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$297.65	$312.33	$179.66 – $474.37
25	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$297.65	$312.33	$179.66 – $474.37

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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