Physical therapy re-evaluation and care plan update at Essentia Health Duluth

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

PHYSICAL THERAPY RE-EVAL EST PLAN CARE

Duluth, MN

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How this price compares nationally

Essentia Health Duluth’s median price of $103 is 4% below the median hospital's median price ($107), higher than 48% of the 2,576 hospitals reporting CPT 97164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97164 at Essentia Health Duluth

Negotiated rates from the hospital’s own file: 8 payers, 33 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	Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges	$62	$62	—	—	—	$62 – $62
2	Blue Cross Blue Shield medicare facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
3	Healthpartners medicare facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
4	Medica medicare facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
5	Ucare medicare facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
6	UnitedHealthcare medicare facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
7	Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
8	Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
9	Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
10	Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
11	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
12	Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
13	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
14	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
15	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
16	Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
17	Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
18	Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges	$106	$106	—	—	—	$106 – $106
19	Medica commercial facility · percent of total billed charges · outpatientfrom % of charges	$108	$108	$5	5%	—	$103 – $114
20	Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges	$112	$112	—	—	—	$112 – $112
21	Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
22	Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges	$122	$122	—	—	—	$122 – $122
23	Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
25	Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133

Page 1 of 2 · 33 rates

Last updated: Jan 1, 2026

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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.