Physical therapy high-complexity evaluation, 45 minutes 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 HIGH COMP LEVEL 3

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $173 is 3% above the median hospital's median price ($169), higher than 51% 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 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	$32	$12	36%	—	$18 – $49
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$30	$32	$12	36%	—	$18 – $49
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$32	$34	$12	36%	—	$19 – $51
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$33	$35	$13	36%	—	$20 – $52
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$34	$35	$13	36%	—	$20 – $53
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$95	$95	—	—	—	$95 – $95
7	Humana medicare advantage case rate · outpatient	$99	$99	—	—	—	$99 – $99
8	Humana medicare advantage ppo case rate · outpatient	$99	$99	—	—	—	$99 – $99
9	Molina medicare advantage case rate · outpatient	$100	$100	—	—	—	$100 – $100
10	WellCare medicare advantage hmo case rate · outpatient	$100	$100	—	—	—	$100 – $100
11	WellCare medicare advantage mmp case rate · outpatient	$105	$105	—	—	—	$105 – $105
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$106	$106	—	—	—	$106 – $106
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$108	$108	—	—	—	$108 – $108
14	Blue Cross Blue Shield exchange fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$140	$147	$53	36%	—	$85 – $224
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$187	$197	$71	36%	—	$113 – $299
17	Blue Cross Blue Shield hmo fee schedule · outpatient	$241	$241	—	—	—	$241 – $241
18	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$238	$250	$90	36%	—	$144 – $379
19	Aetna asa percent of total billed charges · outpatientfrom % of charges	$240	$252	$91	36%	—	$145 – $382
20	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$240	$252	$91	36%	—	$145 – $382
21	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$255	$267	$97	36%	—	$154 – $406
22	Blue Cross Blue Shield ppo fee schedule · outpatient	$268	$268	—	—	—	$268 – $268
23	UnitedHealthcare all payer case rate · outpatient	$308	$308	—	—	—	$308 – $308
24	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$298	$312	$113	36%	—	$180 – $474
25	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$298	$312	$113	36%	—	$180 – $474

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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