Occupational 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 4

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $156 is 45% above the median hospital's median price ($108), higher than 71% of the 2,455 hospitals reporting CPT 97168. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97168 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	$38	$42	$22	53%	—	$15 – $75
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$38	$42	$22	53%	—	$15 – $75
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$40	$44	$23	53%	—	$16 – $79
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$41	$45	$24	53%	—	$17 – $81
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$42	$46	$24	53%	—	$17 – $83
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$67	$67	—	—	—	$67 – $67
7	Humana medicare advantage case rate · outpatient	$69	$69	—	—	—	$69 – $69
8	Humana medicare advantage ppo case rate · outpatient	$69	$69	—	—	—	$69 – $69
9	Molina medicare advantage case rate · outpatient	$70	$70	—	—	—	$70 – $70
10	WellCare medicare advantage hmo case rate · outpatient	$70	$70	—	—	—	$70 – $70
11	WellCare medicare advantage mmp case rate · outpatient	$73	$73	—	—	—	$73 – $73
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$74	$74	—	—	—	$74 – $74
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$75	$75	—	—	—	$75 – $75
14	Blue Cross Blue Shield exchange fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
15	Blue Cross Blue Shield hmo fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
16	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$175	$192	$102	53%	—	$71 – $348
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
18	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$234	$256	$137	53%	—	$94 – $464
19	UnitedHealthcare all payer case rate · outpatient	$308	$308	—	—	—	$308 – $308
20	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$297	$325	$173	53%	—	$120 – $589
21	Cigna oap/hmo case rate · outpatient	$328	$328	—	—	—	$328 – $328
22	Aetna asa percent of total billed charges · outpatientfrom % of charges	$299	$328	$175	53%	—	$121 – $594
23	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$299	$328	$175	53%	—	$121 – $594
24	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$318	$349	$186	53%	—	$129 – $631
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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