Physical therapy evaluation, moderate complexity at Marshall County 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- MOD COMP - REDOC 181

Madill, OK

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Pricing by billing methodology

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How this price compares nationally

Marshall County HMA, LLC’s median price of $167 is 3% above the median hospital's median price ($161), higher than 52% 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 Marshall County HMA, LLC

Negotiated rates from the hospital’s own file: 10 payers, 22 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	Aetna aetna betterhealth medicaid ok facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
2	Humana humana healthy horizons medicaid ok facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
3	UnitedHealthcare uhc apa facility · other · outpatient	$83	$83	—	—	—	$83 – $83
4	Humana node humana mcr adv facility · fee schedule · outpatient	$160	$360	$347	96%	—	$160 – $960
5	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$160	$360	$347	96%	—	$160 – $960
6	Optum node united optum va ccn facility · per diem · outpatient	$162	$366	$352	96%	—	$162 – $976
7	Tricare node tricare facility · fee schedule · outpatient	$167	$376	$363	96%	—	$167 – $1.0k
8	Healthcare Highways healthcare highways facility · percent of total billed charges · inpatientfrom % of charges	$483	$483	—	—	—	$483 – $483
9	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$579	$579	—	—	—	$579 – $579
10	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$579	$579	—	—	—	$579 – $579
11	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$602	$602	—	—	—	$602 – $602
12	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$602	$602	—	—	—	$602 – $602
13	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$618	$618	—	—	—	$618 – $618
14	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$633	$633	—	—	—	$633 – $633
15	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$656	$656	—	—	—	$656 – $656
16	Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges	$483	$1.1k	$1.0k	96%	—	$483 – $2.9k
17	Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges	$540	$1.2k	$1.2k	96%	—	$540 – $3.3k
18	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$618	$1.4k	$1.3k	96%	—	$618 – $3.7k
19	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$633	$1.4k	$1.4k	96%	—	$633 – $3.8k
20	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$656	$1.5k	$1.4k	96%	—	$656 – $4.0k
21	MultiPlan multiplan primary facility · other · outpatient	$3.5k	$3.5k	—	—	—	$3.5k – $3.5k
22	MultiPlan multiplan complementary facility · other · outpatient	$3.6k	$3.6k	—	—	—	$3.6k – $3.6k

Last updated: Apr 1, 2026

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