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
Pace Ot Eval Low Complex; 30 Min
PORTE, IN
See all hospitals reporting CPT 97165 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE’s median price of $221 is 42% above the median hospital's median price ($155), higher than 70% of the 2,514 hospitals reporting CPT 97165. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 12 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 | Medicaid in mcd-nir-michigan city per diem · both | $186.46 | $186.46 | $186.46 – $186.46 |
| 2 | Aetna aetna-nir-michigan city fee schedule · both | $192.14 | $192.14 | $192.14 – $192.14 |
| 3 | Bcbs Il anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $192.14 | $192.14 | $192.14 – $192.14 |
| 4 | Bcbs In anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $192.14 | $192.14 | $192.14 – $192.14 |
| 5 | Blue Cross Blue Shield anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $192.14 | $192.14 | $192.14 – $192.14 |
| 6 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $192.14 | $192.14 | $192.14 – $192.14 |
| 7 | Blue Cross Blue Shield anthem healthsync pos with copps - michigan city/laporte fee schedule · both | $192.14 | $192.14 | $192.14 – $192.14 |
| 8 | Medicaid in mdc mi city caresource 120% of in mcd per diem · both | $223.75 | $223.75 | $223.75 – $223.75 |
| 9 | Cigna cigna hmo-nid-michigan city & laporte percent of total billed charges · bothfrom % of charges | $234.65 | $234.65 | $218.04 – $251.26 |
| 10 | UnitedHealthcare uhc all payer-nid-michigan city per diem · both | $237.00 | $237.00 | $237.00 – $237.00 |
| 11 | Cigna cigna ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $245.92 | $245.92 | $228.51 – $263.33 |
| 12 | UnitedHealthcare uhc options ppo-nid-michigan city per diem · both | $260.00 | $260.00 | $260.00 – $260.00 |
Last updated: Jan 1, 2026
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