Physical therapy re-evaluation and care plan update 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

RE EVAL EST PLAN CARE LEVEL 2

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $166 is 55% above the median hospital's median price ($107), higher than 76% of the 2,576 hospitals reporting CPT 97164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97164 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	$42	$42	$18	44%	—	$17 – $66
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$42	$42	$18	44%	—	$17 – $66
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$44	$44	$19	44%	—	$18 – $70
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$45	$45	$20	44%	—	$18 – $72
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$46	$46	$20	44%	—	$19 – $73
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$66	$66	—	—	—	$66 – $66
7	Humana medicare advantage case rate · outpatient	$68	$68	—	—	—	$68 – $68
8	Humana medicare advantage ppo case rate · outpatient	$68	$68	—	—	—	$68 – $68
9	Molina medicare advantage case rate · outpatient	$69	$69	—	—	—	$69 – $69
10	WellCare medicare advantage hmo case rate · outpatient	$69	$69	—	—	—	$69 – $69
11	WellCare medicare advantage mmp case rate · outpatient	$72	$72	—	—	—	$72 – $72
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$73	$73	—	—	—	$73 – $73
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$74	$74	—	—	—	$74 – $74
14	Blue Cross Blue Shield exchange fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
15	Blue Cross Blue Shield hmo fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
17	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$192	$192	$85	44%	—	$78 – $306
18	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$257	$256	$113	44%	—	$104 – $408
19	UnitedHealthcare all payer case rate · outpatient	$308	$308	—	—	—	$308 – $308
20	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$326	$325	$144	44%	—	$132 – $518
21	Cigna oap/hmo case rate · outpatient	$328	$328	—	—	—	$328 – $328
22	Aetna asa percent of total billed charges · outpatientfrom % of charges	$329	$328	$145	44%	—	$133 – $522
23	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$329	$328	$145	44%	—	$133 – $522
24	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$349	$349	$154	44%	—	$141 – $555
25	Cigna ppo case rate · outpatient	$396	$396	—	—	—	$396 – $396

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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