Physical therapy evaluation, moderate complexity at Holy Cross Hospital-Silver Spring

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

HC Pt Evaluation Moderate Complexity Patient/Family 90 Minutes Restricted (Mdpl Gtpl)

Silver Spring, MD

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Pricing by billing methodology

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How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $922 is 471% above the median hospital's median price ($161), higher than 100% of the 2,592 hospitals reporting CPT 97162. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97162 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 15 payers, 26 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	Cigna cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges	$925	$925	$471	51%	—	$206 – $1.6k
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$946	$946	$482	51%	—	$210 – $1.7k
3	Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges	$946	$946	$482	51%	—	$210 – $1.7k
4	Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges	$946	$946	$482	51%	—	$210 – $1.7k
5	Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$952	$952	$485	51%	—	$212 – $1.7k
6	UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$952	$952	$485	51%	—	$212 – $1.7k
7	Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges	$963	$963	$490	51%	—	$214 – $1.7k
8	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$967	$967	$492	51%	60	$215 – $1.7k
9	Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges	$973	$973	$496	51%	—	$216 – $1.7k
10	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$988	$988	$503	51%	—	$220 – $1.8k
11	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
12	Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
13	Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
14	Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
16	Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
17	Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
18	Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
19	Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
20	Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	8–80	$228 – $1.8k
22	Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$523	51%	—	$228 – $1.8k
23	Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$528	51%	—	$230 – $1.8k
24	Humana humana facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$528	51%	—	$230 – $1.8k
25	Humana humana military facility · percent of total billed charges · bothfrom % of charges	$1.0k	$1.0k	$528	51%	—	$230 – $1.8k

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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