Occupational therapy evaluation, moderate complexity, 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

OT EVAL MOD Unit - Yes

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 $251 is 51% above the median hospital's median price ($167), higher than 74% of the 2,556 hospitals reporting CPT 97166. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97166 at Marshall County HMA, LLC

Negotiated rates from the hospital’s own file: 10 payers, 23 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	$77	$77	$12	15%	—	$65 – $89
2	Humana humana healthy horizons medicaid ok facility · fee schedule · outpatient	$77	$77	$12	15%	—	$65 – $89
3	UnitedHealthcare uhc apa facility · other · outpatient	$83	$83	—	—	—	$83 – $83
4	Healthcare Highways healthcare highways facility · percent of total billed charges · inpatientfrom % of charges	$405	$405	$43	11%	—	$361 – $448
5	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$442	$442	—	—	—	$442 – $442
6	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$486	$486	$52	11%	—	$434 – $538
7	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$486	$486	$52	11%	—	$434 – $538
8	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$505	$505	$54	11%	—	$451 – $559
9	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$505	$505	$54	11%	—	$451 – $559
10	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$518	$518	$56	11%	—	$462 – $574
11	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$531	$531	$57	11%	—	$474 – $588
12	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$550	$550	$59	11%	—	$491 – $609
13	Humana node humana mcr adv facility · fee schedule · outpatient	$148	$728	$841	115%	—	$119 – $1.9k
14	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$148	$728	$841	115%	—	$119 – $1.9k
15	Optum node united optum va ccn facility · per diem · outpatient	$151	$740	$855	115%	—	$121 – $1.9k
16	Tricare node tricare facility · fee schedule · outpatient	$155	$762	$880	115%	—	$125 – $2.0k
17	Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges	$448	$2.2k	$2.5k	115%	—	$361 – $5.8k
18	Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges	$502	$2.5k	$2.8k	115%	—	$405 – $6.5k
19	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$574	$2.8k	$3.3k	115%	—	$462 – $7.4k
20	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$588	$2.9k	$3.3k	115%	—	$474 – $7.6k
21	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$609	$3.0k	$3.5k	115%	—	$491 – $7.9k
22	MultiPlan multiplan primary facility · other · outpatient	$7.0k	$7.0k	—	—	—	$7.0k – $7.0k
23	MultiPlan multiplan complementary facility · other · outpatient	$7.2k	$7.2k	—	—	—	$7.2k – $7.2k

Last updated: Apr 1, 2026

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