Physical therapy evaluation, moderate complexity at Hospital Development Co

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

Pt eval mod complex 30 min

Spencer, WV

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How this price compares nationally

Hospital Development Co’s median price of $157 is 3% below the median hospital's median price ($161), higher than 48% of the 2,632 hospitals reporting CPT 97162. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97162 at Hospital Development Co

Negotiated rates from the hospital’s own file: 5 payers, 10 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	Medicare medicare_1 percent of total billed charges · bothfrom % of charges	$39	$39	$1	2%	29–38	$38 – $40
2	Humana humanappo_1 percent of total billed charges · bothfrom % of charges	$92	$92	—	—	23	$92 – $92
3	UnitedHealthcare uhc/mcr_1 percent of total billed charges · bothfrom % of charges	$95	$95	—	—	26	$95 – $95
4	Aetna aetna/mcr_1 percent of total billed charges · bothfrom % of charges	$97	$97	—	—	12	$97 – $97
5	Highmark bc/oth fee schedule · both	$267	$267	—	—	—	$267 – $267
6	Highmark bcms fee schedule · both	$267	$267	—	—	—	$267 – $267
7	Aetna aetna percent of total billed charges · bothfrom % of charges	$351	$351	—	—	1–10	$351 – $351
8	Aetna aetna_1 percent of total billed charges · bothfrom % of charges	$351	$351	—	—	1–10	$351 – $351
9	UnitedHealthcare uhc percent of total billed charges · bothfrom % of charges	$360	$360	—	—	1–10	$360 – $360
10	UnitedHealthcare uhc_1 percent of total billed charges · bothfrom % of charges	$360	$360	—	—	1–10	$360 – $360

Last updated: Nov 2, 2026

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