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.
Original text from hospital filings
PT RE-EVAL EST PLAN CARE
Waco, TX
See all hospitals reporting CPT 97164 →Price type
Ascension Providence’s median price of $68 is 37% below the median hospital's median price ($107), higher than 15% of the 2,525 hospitals reporting CPT 97164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 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 | Tricare 877_tricare outpatient 20250101 other · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 2 | Tricare 986_tricare inpatient 20251001 other · inpatient | $66 | $66 | — | — | — | $66 – $66 |
| 3 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 4 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $66 | $66 | — | — | — | $66 – $66 |
| 5 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 6 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $67 | $67 | — | — | — | $67 – $67 |
| 7 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 8 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $67 | $67 | — | — | — | $67 – $67 |
| 9 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 other · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 11 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $98 | $98 | — | — | — | $98 – $98 |
| 12 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 13 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 14 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $145 | $145 | — | — | — | $145 – $145 |
Last updated: Jan 1, 2026
See Physical therapy re-evaluation and care plan update pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.