Physical therapy evaluation, low complexity at Key West HMA LLC

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- LOW CMP PT

Key West, FL

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How this price compares nationally

Key West HMA LLC’s median price of $263 is 75% above the median hospital's median price ($150), higher than 83% 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 Key West HMA LLC

Negotiated rates from the hospital’s own file: 11 payers, 27 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 uhc medicaid fl facility · per diem · outpatient	$62.35	$62.35	$62.35 – $62.35
2	UnitedHealthcare uhc kids medicaid fl facility · per diem · outpatient	$65.47	$65.47	$65.47 – $65.47
3	Tricare node tricare facility · fee schedule · outpatient	$96.16	$96.16	$96.16 – $96.16
4	Bcbs Fl node bcbs fl mcr adv facility · fee schedule · outpatient	$99.00	$99.00	$99.00 – $99.00
5	Humana node humana mcr adv facility · fee schedule · outpatient	$99.00	$99.00	$99.00 – $99.00
6	Optum node united optum va ccn facility · fee schedule · outpatient	$100.61	$100.61	$100.61 – $100.61
7	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · inpatientfrom % of charges	$222.70	$222.70	$222.70 – $222.70
8	Humana humana medicaid fl facility · fee schedule · outpatient	$246.40	$246.40	$246.40 – $246.40
9	WellCare healthease medicaid fl facility · fee schedule · outpatient	$263.14	$263.14	$263.14 – $263.14
10	WellCare wellcare kids medicaid fl facility · fee schedule · outpatient	$263.14	$263.14	$263.14 – $263.14
11	WellCare wellcare medicaid fl facility · fee schedule · outpatient	$263.14	$263.14	$263.14 – $263.14
12	Molina molina medicaid fl facility · other · outpatient	$270.32	$270.32	$270.32 – $270.32
13	Magellan magellan medicaid fl facility · fee schedule · outpatient	$287.06	$287.06	$287.06 – $287.06
14	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$375.42	$375.42	$375.42 – $375.42
15	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$375.42	$375.42	$375.42 – $375.42
16	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · outpatientfrom % of charges	$407.23	$407.23	$407.23 – $407.23
17	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$444.14	$444.14	$444.14 – $444.14
18	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$444.14	$444.14	$444.14 – $444.14
19	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$489.31	$489.31	$489.31 – $489.31
20	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$489.31	$489.31	$489.31 – $489.31
21	Bcbs Fl bcbs fl bsl facility · per diem · outpatient	$636.30	$636.30	$636.30 – $636.30
22	Bcbs Fl bcbs fl hmo facility · per diem · outpatient	$636.30	$636.30	$636.30 – $636.30
23	Bcbs Fl bcbs fl mbn facility · per diem · outpatient	$636.30	$636.30	$636.30 – $636.30
24	Bcbs Fl bcbs fl nwb facility · per diem · outpatient	$636.30	$636.30	$636.30 – $636.30
25	Bcbs Fl bcbs fl phs facility · per diem · outpatient	$636.30	$636.30	$636.30 – $636.30

Page 1 of 2 · 27 rates

Last updated: Apr 1, 2026

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