Physical therapy evaluation, low complexity at Fairview Park Hospital

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 evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st

DUBLIN, GA

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How this price compares nationally

Fairview Park Hospital’s median price of $98 is 35% below the median hospital's median price ($150), higher than 14% of the 2,543 hospitals reporting CPT 97161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97161 at Fairview Park Hospital

Negotiated rates from the hospital’s own file: 10 payers, 20 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 mcr fee schedule · outpatient	$87.38	$87.38	$81.80 – $92.95
2	Humana mgmcr fee schedule · outpatient	$87.38	$87.38	$81.80 – $92.95
3	UnitedHealthcare vaccn fee schedule · outpatient	$87.38	$87.38	$81.80 – $92.95
4	Aetna mcr fee schedule · outpatient	$88.25	$88.25	$82.61 – $93.88
5	UnitedHealthcare mcr fee schedule · outpatient	$89.12	$89.12	$83.43 – $94.81
6	WellCare mcr fee schedule · outpatient	$89.12	$89.12	$83.43 – $94.81
7	Humana tricare fee schedule · outpatient	$89.90	$89.90	$89.90 – $89.90
8	Blue Cross Blue Shield mcr fee schedule · outpatient	$90.00	$90.00	$84.25 – $95.74
9	Clover mcr fee schedule · outpatient	$91.75	$91.75	$85.89 – $97.60
10	Ambetter hix percent of total billed charges · outpatientfrom % of charges	$188.85	$188.85	$188.85 – $188.85
11	WellCare mcd percent of total billed charges · outpatientfrom % of charges	$258.70	$258.70	$258.70 – $258.70
12	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$319.49	$319.49	$319.49 – $319.49
13	Cigna localplus percent of total billed charges · outpatientfrom % of charges	$351.83	$351.83	$351.83 – $351.83
14	Cigna hmo percent of total billed charges · outpatientfrom % of charges	$469.54	$469.54	$469.54 – $469.54
15	Cigna oap percent of total billed charges · outpatientfrom % of charges	$469.54	$469.54	$469.54 – $469.54
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$469.54	$469.54	$469.54 – $469.54
17	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$582.08	$582.08	$582.08 – $582.08
18	Aetna nap percent of total billed charges · outpatientfrom % of charges	$713.11	$713.11	$713.11 – $713.11
19	MultiPlan complementary percent of total billed charges · outpatientfrom % of charges	$1,164	$1,164	$1,164 – $1,164
20	MultiPlan primary percent of total billed charges · outpatientfrom % of charges	$1,164	$1,164	$1,164 – $1,164

Last updated: Mar 1, 2026

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