Physical therapy evaluation, moderate complexity at Durant HMA 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

PT EVAL- MOD COMP - REDOC 181

Durant, OK

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Pricing by billing methodology

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How this price compares nationally

Durant HMA LLC’s median price of $206 is 27% above the median hospital's median price ($161), higher than 64% of the 2,576 hospitals reporting CPT 97162. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97162 at Durant HMA LLC

Negotiated rates from the hospital’s own file: 11 payers, 23 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 aetna betterhealth medicaid ok facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
2	Humana humana healthy horizons medicaid ok facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
3	Humana node humana mcr adv facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
4	Tricare node tricare facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
5	Optum node united optum va ccn facility · per diem · outpatient	$93	$93	—	—	—	$93 – $93
6	Blue Cross Blue Shield node bcbs native blue mcr adv facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
7	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
8	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$222	$222	—	—	—	$222 – $222
9	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$233	$233	—	—	—	$233 – $233
10	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$239	$239	—	—	—	$239 – $239
11	Healthcare Highways healthcare highways facility · percent of total billed charges · inpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
12	Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
13	Phcs phcs savility facility · percent of total billed charges · inpatientfrom % of charges	$535	$535	—	—	—	$535 – $535
14	Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges	$535	$535	—	—	—	$535 – $535
15	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
16	First Health coventry facility · percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
17	First Health first health ccn facility · percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
18	First Health first health ccn facility · percent of total billed charges · inpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
19	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
20	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
21	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
22	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$611	$611	—	—	—	$611 – $611
23	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$649	$649	—	—	—	$649 – $649

Last updated: Apr 1, 2026

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