Occupational therapy evaluation, high complexity, 60 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 2

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $259 is 49% above the median hospital's median price ($174), higher than 71% of the 2,504 hospitals reporting CPT 97167. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97167 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	$53	$52	$18	34%	—	$28 – $75
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$53	$52	$18	34%	—	$28 – $75
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$56	$55	$18	34%	—	$29 – $79
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$57	$57	$19	34%	—	$30 – $81
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$58	$58	$19	34%	—	$31 – $83
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$98	$98	—	—	—	$98 – $98
7	Humana medicare advantage case rate · outpatient	$102	$102	—	—	—	$102 – $102
8	Humana medicare advantage ppo case rate · outpatient	$102	$102	—	—	—	$102 – $102
9	Molina medicare advantage case rate · outpatient	$103	$103	—	—	—	$103 – $103
10	WellCare medicare advantage hmo case rate · outpatient	$103	$103	—	—	—	$103 – $103
11	WellCare medicare advantage mmp case rate · outpatient	$108	$108	—	—	—	$108 – $108
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$109	$109	—	—	—	$109 – $109
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$111	$111	—	—	—	$111 – $111
14	Blue Cross Blue Shield exchange fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$244	$241	$81	34%	—	$129 – $348
16	Blue Cross Blue Shield hmo fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$288	$288	—	—	—	$288 – $288
18	UnitedHealthcare all payer case rate · outpatient	$308	$308	—	—	—	$308 – $308
19	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$326	$322	$108	34%	—	$172 – $464
20	Cigna oap/hmo case rate · outpatient	$328	$328	—	—	—	$328 – $328
21	Cigna ppo case rate · outpatient	$396	$396	—	—	—	$396 – $396
22	UnitedHealthcare ppo case rate · outpatient	$401	$401	—	—	—	$401 – $401
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$414	$409	$137	34%	—	$219 – $589
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$417	$412	$138	34%	—	$221 – $594
25	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$417	$412	$138	34%	—	$221 – $594

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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