Physical therapy re-evaluation and care plan update 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 RE-EVAL-VISIT PT

Key West, FL

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Pricing by billing methodology

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How this price compares nationally

Key West HMA LLC’s median price of $260 is 143% above the median hospital's median price ($107), higher than 94% of the 2,525 hospitals reporting CPT 97164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97164 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	$62	—	—	—	$62 – $62
2	UnitedHealthcare uhc kids medicaid fl facility · per diem · outpatient	$65	$65	—	—	—	$65 – $65
3	Tricare node tricare facility · fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
4	Bcbs Fl node bcbs fl mcr adv facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
5	Humana node humana mcr adv facility · fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
6	Optum node united optum va ccn facility · fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
7	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · inpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
8	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
9	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
10	Bcbs Fl bcbs fl chs employee facility · percent of total billed charges · outpatientfrom % of charges	$222	$222	—	—	—	$222 – $222
11	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
12	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
13	Humana humana medicaid fl facility · fee schedule · outpatient	$246	$246	—	—	—	$246 – $246
14	WellCare healthease medicaid fl facility · fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
15	WellCare wellcare kids medicaid fl facility · fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
16	WellCare wellcare medicaid fl facility · fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
17	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
18	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
19	Molina molina medicaid fl facility · other · outpatient	$270	$270	—	—	—	$270 – $270
20	Magellan magellan medicaid fl facility · fee schedule · outpatient	$287	$287	—	—	—	$287 – $287
21	Bcbs Fl bcbs fl bsl facility · per diem · outpatient	$347	$347	—	—	—	$347 – $347
22	Bcbs Fl bcbs fl hmo facility · per diem · outpatient	$347	$347	—	—	—	$347 – $347
23	Bcbs Fl bcbs fl mbn facility · per diem · outpatient	$347	$347	—	—	—	$347 – $347
24	Bcbs Fl bcbs fl nwb facility · per diem · outpatient	$347	$347	—	—	—	$347 – $347
25	Bcbs Fl bcbs fl phs facility · per diem · outpatient	$347	$347	—	—	—	$347 – $347

Page 1 of 2 · 27 rates

Last updated: Apr 1, 2026

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See Physical therapy re-evaluation and care plan update pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.