Physical therapy evaluation, moderate complexity at Clovis Community Medical Center

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 EVALUATION - MODERATE COMPLEXITY

Clovis, CA

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Pricing by billing methodology

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How this price compares nationally

Clovis Community Medical Center’s median price of $117 is 27% below the median hospital's median price ($161), higher than 32% of the 2,600 hospitals reporting CPT 97162. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97162 at Clovis Community Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 32 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	Aetna medicare advantage facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
2	Aetna medicare hmo for chp facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
3	Aetna ppo facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
4	Blue Cross Blue Shield medicare advantage facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
5	Cigna access (pffs) facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
6	Cigna healthspring facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
7	Humana medicare advantage facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
8	Kaiser commercial facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
9	Kaiser senior advantage medicare facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
10	WellCare medicare advantage facility · case rate · inpatient	$103	$103	—	—	—	$103 – $103
11	UnitedHealthcare medicare advantage facility · case rate · inpatient	$105	$105	—	—	—	$105 – $105
12	Aetna medicare hmo for non-chp facility · case rate · inpatient	$108	$108	—	—	—	$108 – $108
13	Blue Cross Blue Shield epn facility · fee schedule · inpatient	$198	$198	—	—	—	$198 – $198
14	Aetna qualified health plan facility · fee schedule · inpatient	$202	$202	—	—	—	$202 – $202
15	Aetna hmoposppo facility · fee schedule · inpatient	$227	$227	—	—	—	$227 – $227
16	Blue Cross Blue Shield hmoppo facility · fee schedule · inpatient	$284	$284	—	—	—	$284 – $284
17	Blue Cross Blue Shield exchange hmo facility · fee schedule · inpatient	$289	$289	—	—	—	$289 – $289
18	Cigna hmo facility · case rate · inpatient	$356	$356	—	—	—	$356 – $356
19	Cigna hmo facility · case rate · outpatient	$356	$356	—	—	—	$356 – $356
20	Blue Cross Blue Shield hmopos facility · case rate · inpatient	$368	$368	—	—	—	$368 – $368
21	Blue Cross Blue Shield hmopos facility · case rate · outpatient	$368	$368	—	—	—	$368 – $368
22	UnitedHealthcare hmo facility · case rate · inpatient	$368	$368	—	—	—	$368 – $368
23	UnitedHealthcare hmo facility · case rate · outpatient	$368	$368	—	—	—	$368 – $368
24	UnitedHealthcare ppo facility · case rate · inpatient	$377	$377	—	—	—	$377 – $377
25	UnitedHealthcare ppo facility · case rate · outpatient	$377	$377	—	—	—	$377 – $377

Page 1 of 2 · 32 rates

Last updated: Sep 11, 2026

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