Physical therapy evaluation, low complexity at GRMC, Inc.

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

HCHG PT EVAL-LOW

Oakland, MD

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Pricing by billing methodology

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How this price compares nationally

GRMC, Inc.’s median price of $134 is 11% below the median hospital's median price ($150), higher than 43% 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 GRMC, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 18 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	Caresource all plans percent of total billed charges · bothfrom % of charges	$127.55	$127.55	$111.09 – $144.00
2	Highmark all plans percent of total billed charges · bothfrom % of charges	$130.81	$130.81	$113.93 – $147.68
3	Humana all plans percent of total billed charges · bothfrom % of charges	$130.81	$130.81	$113.93 – $147.68
4	Humana tricare percent of total billed charges · bothfrom % of charges	$130.81	$130.81	$113.93 – $147.68
5	Aetna Better Health chip percent of total billed charges · bothfrom % of charges	$133.64	$133.64	$116.39 – $150.88
6	Aetna Better Health managed medicaid percent of total billed charges · bothfrom % of charges	$133.64	$133.64	$116.39 – $150.88
7	Aetna Better Health medicaid percent of total billed charges · bothfrom % of charges	$133.64	$133.64	$116.39 – $150.88
8	Carefirst medicaid percent of total billed charges · bothfrom % of charges	$133.64	$133.64	$116.39 – $150.88
9	Highmark chip percent of total billed charges · bothfrom % of charges	$133.64	$133.64	$116.39 – $150.88
10	Highmark managed medicaid percent of total billed charges · bothfrom % of charges	$133.64	$133.64	$116.39 – $150.88
11	UnitedHealthcare managed medicaid percent of total billed charges · bothfrom % of charges	$133.64	$133.64	$116.39 – $150.88
12	Carefirst all plans percent of total billed charges · bothfrom % of charges	$135.56	$134.44	$113.93 – $160.00
13	MultiPlan all plans percent of total billed charges · bothfrom % of charges	$134.63	$134.63	$117.26 – $152.00
14	Aetna all plans percent of total billed charges · bothfrom % of charges	$135.56	$136.26	$113.93 – $160.00
15	UnitedHealthcare all plans percent of total billed charges · bothfrom % of charges	$135.56	$136.26	$113.93 – $160.00
16	Cigna all plans percent of total billed charges · bothfrom % of charges	$141.72	$141.72	$123.43 – $160.00
17	Cigna rental percent of total billed charges · bothfrom % of charges	$141.72	$141.72	$123.43 – $160.00
18	First Health all plans percent of total billed charges · bothfrom % of charges	$141.72	$141.72	$123.43 – $160.00

Last updated: Mar 31, 2026

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