Physical therapy re-evaluation and care plan update 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 RE-EVALUATION

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 $100 is 6% below the median hospital's median price ($107), higher than 46% 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 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	$96	$96	$12	13%	—	$83 – $108
2	Highmark all plans percent of total billed charges · bothfrom % of charges	$98	$98	$13	13%	—	$85 – $111
3	Humana all plans percent of total billed charges · bothfrom % of charges	$98	$98	$13	13%	—	$85 – $111
4	Humana tricare percent of total billed charges · bothfrom % of charges	$98	$98	$13	13%	—	$85 – $111
5	Aetna Better Health chip percent of total billed charges · bothfrom % of charges	$100	$100	$13	13%	—	$87 – $113
6	Aetna Better Health managed medicaid percent of total billed charges · bothfrom % of charges	$100	$100	$13	13%	—	$87 – $113
7	Aetna Better Health medicaid percent of total billed charges · bothfrom % of charges	$100	$100	$13	13%	—	$87 – $113
8	Carefirst medicaid percent of total billed charges · bothfrom % of charges	$100	$100	$13	13%	—	$87 – $113
9	Highmark chip percent of total billed charges · bothfrom % of charges	$100	$100	$13	13%	—	$87 – $113
10	Highmark managed medicaid percent of total billed charges · bothfrom % of charges	$100	$100	$13	13%	—	$87 – $113
11	UnitedHealthcare managed medicaid percent of total billed charges · bothfrom % of charges	$100	$100	$13	13%	—	$87 – $113
12	Carefirst all plans percent of total billed charges · bothfrom % of charges	$102	$101	$14	13%	—	$85 – $120
13	MultiPlan all plans percent of total billed charges · bothfrom % of charges	$101	$101	$13	13%	—	$88 – $114
14	Aetna all plans percent of total billed charges · bothfrom % of charges	$102	$102	$14	14%	—	$85 – $120
15	UnitedHealthcare all plans percent of total billed charges · bothfrom % of charges	$102	$102	$14	14%	—	$85 – $120
16	Cigna all plans percent of total billed charges · bothfrom % of charges	$106	$106	$14	13%	—	$93 – $120
17	Cigna rental percent of total billed charges · bothfrom % of charges	$106	$106	$14	13%	—	$93 – $120
18	First Health all plans percent of total billed charges · bothfrom % of charges	$106	$106	$14	13%	—	$93 – $120

Last updated: Mar 31, 2026

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