Physical therapy re-evaluation and care plan update at Ascension Seton

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

PT RE-EVAL EST PLAN CARE

Austin, TX

See all hospitals reporting CPT 97164 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $100 is 6% below the median hospital's median price ($107), higher than 46% of the 2,538 hospitals reporting CPT 97164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97164 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 22 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.

Filter by billing methodology

Filter by billing class

#
1	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$66	$66	—	—	—	$66 – $66
2	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$66	$66	—	—	—	$66 – $66
3	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$66	$66	—	—	—	$66 – $66
4	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$66	$66	—	—	—	$66 – $66
5	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$66	$66	—	—	—	$66 – $66
6	Tricare 4696_tricare inpatient 20251001 other · inpatient	$66	$66	—	—	—	$66 – $66
7	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$66	$66	—	—	—	$66 – $66
8	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$66	$66	—	—	—	$66 – $66
9	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$67	$67	—	—	—	$67 – $67
10	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$67	$67	—	—	—	$67 – $67
11	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
12	Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
13	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$118	$118	—	—	—	$118 – $118
14	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$118	$118	—	—	—	$118 – $118
15	Aetna 4489_aetna aco hmo 20250801 fee schedule · both	$123	$123	—	—	—	$123 – $123
16	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both	$123	$123	—	—	—	$123 – $123
17	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
18	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$200	$200	—	—	—	$200 – $200
19	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$220	$220	—	—	—	$220 – $220
20	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
21	Aetna 4335_aetna sha aisd 20250101 other · outpatient	$254	$254	—	—	—	$254 – $254
22	Aetna 4486_aetna hmo 20250801 other · outpatient	$317	$317	—	—	—	$317 – $317

Last updated: Jan 1, 2026

Compare to other hospitals

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.