Physical therapy high-complexity evaluation, 45 minutes 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- HGH COMP - REDOC 181

Madill, OK

See all hospitals reporting CPT 97163 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Marshall County HMA, LLC’s median price of $167 is 1% below the median hospital's median price ($169), higher than 49% of the 2,582 hospitals reporting CPT 97163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97163 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.

Filter by billing methodology

Filter by billing class

#
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	$195	$61	31%	—	$160 – $300
5	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$160	$195	$61	31%	—	$160 – $300
6	Optum node united optum va ccn facility · per diem · outpatient	$162	$198	$62	31%	—	$162 – $305
7	Tricare node tricare facility · fee schedule · outpatient	$167	$204	$63	31%	—	$167 – $314
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	Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges	$483	$589	$184	31%	—	$483 – $906
12	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$602	$602	—	—	—	$602 – $602
13	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$602	$602	—	—	—	$602 – $602
14	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$618	$618	—	—	—	$618 – $618
15	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$633	$633	—	—	—	$633 – $633
16	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$656	$656	—	—	—	$656 – $656
17	Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges	$540	$659	$206	31%	—	$540 – $1.0k
18	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$618	$753	$235	31%	—	$618 – $1.2k
19	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$633	$772	$241	31%	—	$633 – $1.2k
20	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$656	$800	$250	31%	—	$656 – $1.2k
21	MultiPlan multiplan primary facility · other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	MultiPlan multiplan complementary facility · other · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Last updated: Apr 1, 2026

Compare to other hospitals

See Physical therapy high-complexity evaluation, 45 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.