Physical therapy evaluation, moderate 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-MODERATE

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 17% below the median hospital's median price ($161), higher than 39% of the 2,600 hospitals reporting CPT 97162. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97162 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	$128	$128	$16	13%	—	$111 – $144
2	Highmark all plans percent of total billed charges · bothfrom % of charges	$131	$131	$17	13%	—	$114 – $148
3	Humana all plans percent of total billed charges · bothfrom % of charges	$131	$131	$17	13%	2–20	$114 – $148
4	Humana tricare percent of total billed charges · bothfrom % of charges	$131	$131	$17	13%	—	$114 – $148
5	Aetna Better Health chip percent of total billed charges · bothfrom % of charges	$134	$134	$17	13%	—	$116 – $151
6	Aetna Better Health managed medicaid percent of total billed charges · bothfrom % of charges	$134	$134	$17	13%	—	$116 – $151
7	Aetna Better Health medicaid percent of total billed charges · bothfrom % of charges	$134	$134	$17	13%	—	$116 – $151
8	Carefirst medicaid percent of total billed charges · bothfrom % of charges	$134	$134	$17	13%	—	$116 – $151
9	Highmark chip percent of total billed charges · bothfrom % of charges	$134	$134	$17	13%	—	$116 – $151
10	Highmark managed medicaid percent of total billed charges · bothfrom % of charges	$134	$134	$17	13%	—	$116 – $151
11	UnitedHealthcare managed medicaid percent of total billed charges · bothfrom % of charges	$134	$134	$17	13%	—	$116 – $151
12	Carefirst all plans percent of total billed charges · bothfrom % of charges	$136	$134	$18	13%	—	$114 – $160
13	MultiPlan all plans percent of total billed charges · bothfrom % of charges	$135	$135	$17	13%	—	$117 – $152
14	Aetna all plans percent of total billed charges · bothfrom % of charges	$136	$136	$18	14%	2–20	$114 – $160
15	UnitedHealthcare all plans percent of total billed charges · bothfrom % of charges	$136	$136	$18	14%	4–40	$114 – $160
16	Cigna all plans percent of total billed charges · bothfrom % of charges	$142	$142	$18	13%	—	$123 – $160
17	Cigna rental percent of total billed charges · bothfrom % of charges	$142	$142	$18	13%	—	$123 – $160
18	First Health all plans percent of total billed charges · bothfrom % of charges	$142	$142	$18	13%	—	$123 – $160

Last updated: Mar 31, 2026

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