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.
Original text from hospital filings
PT RE-EVAL EST PLAN CARE
Hialeah, FL
See all hospitals reporting CPT 97164 →Price type
Hsa Pgh Llc’s median price of $136 is 27% above the median hospital's median price ($107), higher than 64% of the 2,525 hospitals reporting CPT 97164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 37 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 | Humana humana medicare hmo facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 2 | Humana humana medicare ppo facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 3 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 4 | Medicare medicare facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 5 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 6 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 7 | Devoted devoted health facility · fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 8 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 9 | Humana humana commercial hmo facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 10 | Molina molina medicare advantage program facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 11 | Cigna cigna healthsprings facility · fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 12 | Humana humana commercial ppo facility · other · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 13 | Aetna aetna non-gatekeeper facility · per diem · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 14 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 15 | Ambetter ambetter by sunshine hix facility · fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 16 | Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 17 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 18 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 19 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 20 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $171 | $171 | — | — | — | $171 – $171 |
| 21 | Molina molina managed medicaid facility · other · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 22 | Cigna cigna individual family facility · per diem · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 23 | UnitedHealthcare united healthcare of florida exchange facility · per diem · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 24 | Cigna cigna surefit facility · per diem · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 25 | Cigna cigna commercial facility · per diem · outpatient | $260 | $260 | — | — | — | $260 – $260 |
Last updated: Sep 1, 2026
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