Physical therapy high-complexity evaluation, 45 minutes 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 High Complexity Patient/Family 45 Minutes Restricted (Mdpl Gtpl)

Silver Spring, MD

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How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $913 is 443% above the median hospital's median price ($168), higher than 100% of the 2,551 hospitals reporting CPT 97163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97163 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	$822	$822	$411	50%	—	$206 – $1.4k
2	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$841	$841	$420	50%	—	$210 – $1.5k
3	Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges	$841	$841	$420	50%	—	$210 – $1.5k
4	Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges	$841	$841	$420	50%	—	$210 – $1.5k
5	Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges	$847	$847	$423	50%	—	$212 – $1.5k
6	UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges	$847	$847	$423	50%	—	$212 – $1.5k
7	Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges	$856	$856	$428	50%	—	$214 – $1.5k
8	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$860	$860	$430	50%	7–70	$215 – $1.5k
9	Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges	$865	$865	$433	50%	—	$216 – $1.5k
10	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$878	$878	$439	50%	—	$220 – $1.5k
11	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
12	Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
13	Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
14	Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
15	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
16	Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
17	Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
18	Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
19	Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
20	Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
21	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
22	Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges	$913	$913	$456	50%	—	$228 – $1.6k
23	Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges	$922	$922	$461	50%	—	$230 – $1.6k
24	Humana humana facility · percent of total billed charges · bothfrom % of charges	$922	$922	$461	50%	—	$230 – $1.6k
25	Humana humana military facility · percent of total billed charges · bothfrom % of charges	$922	$922	$461	50%	—	$230 – $1.6k

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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