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
Atlanta, GA
See all hospitals reporting CPT 97164 →Price type
Emory University’s median price of $68 is 36% below the median hospital's median price ($107), higher than 18% of the 2,576 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: 9 payers, 13 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 | Devoted medicare managed care plan facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 2 | Blue Cross Blue Shield blue value secure medicare managed care plan facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 3 | Aetna medicare managed care plan facility · fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 4 | Cigna healthspring medicare managed care plan facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 5 | Clover medicare managed care plan facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 6 | WellCare medicare managed care plan facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Cigna hmo/pos facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 8 | Aetna exchange facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 9 | Aetna hpn whole health other commercial plan facility · fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 10 | Kaiser hmo facility · fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 11 | Ambetter peach state exchange facility · fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 12 | Humana hmo/pos facility · fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 13 | Humana medicare managed care plan facility · fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
Last updated: Apr 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.