Physical therapy evaluation, low complexity at HCA Healthcare Summerville 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

SUMMERVILLE, SC

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How this price compares nationally

HCA Healthcare Summerville Hospital’s median price of $106 is 29% below the median hospital's median price ($150), higher than 28% 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 HCA Healthcare Summerville Hospital

Negotiated rates from the hospital’s own file: 12 payers, 34 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	UnitedHealthcare mcd fee schedule · outpatient	$60.81	$60.81	$60.81 – $60.81
2	Blue Cross Blue Shield pbhix fee schedule · outpatient	$73.51	$73.51	$73.51 – $73.51
3	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$88.65	$88.65	$82.99 – $94.31
4	Devoted medicare fee schedule · outpatient	$88.65	$88.65	$82.99 – $94.31
5	Humana mcr fee schedule · outpatient	$88.65	$88.65	$82.99 – $94.31
6	UnitedHealthcare vaccn fee schedule · outpatient	$88.65	$88.65	$82.99 – $94.31
7	Aetna mcr fee schedule · outpatient	$89.54	$89.54	$83.82 – $95.25
8	Molina mcrmmp fee schedule · outpatient	$90.43	$90.43	$84.65 – $96.20
9	UnitedHealthcare mcr fee schedule · outpatient	$90.43	$90.43	$84.65 – $96.20
10	WellCare mcrhmo fee schedule · outpatient	$90.43	$90.43	$84.65 – $96.20
11	WellCare pffs fee schedule · outpatient	$90.43	$90.43	$84.65 – $96.20
12	WellCare pos fee schedule · outpatient	$90.43	$90.43	$84.65 – $96.20
13	WellCare ppo fee schedule · outpatient	$90.43	$90.43	$84.65 – $96.20
14	WellCare snp fee schedule · outpatient	$90.43	$90.43	$84.65 – $96.20
15	Blue Cross Blue Shield bluechoice fee schedule · outpatient	$90.79	$90.79	$90.79 – $90.79
16	Blue Cross Blue Shield preferredblue fee schedule · outpatient	$90.79	$90.79	$90.79 – $90.79
17	Humana tricare fee schedule · outpatient	$90.88	$90.88	$90.88 – $90.88
18	Clover mcr fee schedule · outpatient	$93.09	$93.09	$87.14 – $99.03
19	Cigna mcr fee schedule · outpatient	$95.74	$95.74	$89.63 – $101.85
20	Molina hix percent of total billed charges · outpatientfrom % of charges	$97.02	$95.82	$84.60 – $105.84
21	Aetna fi percent of total billed charges · outpatientfrom % of charges	$131.37	$131.37	$131.37 – $131.37
22	Aetna si percent of total billed charges · outpatientfrom % of charges	$189.88	$189.88	$189.88 – $189.88
23	Medcost newultra percent of total billed charges · outpatientfrom % of charges	$205.90	$203.35	$179.54 – $224.62
24	Aetna afa percent of total billed charges · outpatientfrom % of charges	$210.98	$210.98	$210.98 – $210.98
25	Aetna nb percent of total billed charges · outpatientfrom % of charges	$210.98	$210.98	$210.98 – $210.98

Page 1 of 2 · 34 rates

Last updated: Mar 1, 2026

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