Occupational therapy evaluation, high complexity, 60 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 HIGH 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 $161 is 7% below the median hospital's median price ($174), higher than 46% of the 2,504 hospitals reporting CPT 97167. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97167 at Marshall County HMA, LLC

Negotiated rates from the hospital’s own file: 10 payers, 20 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	$65	$65	—	—	—	$65 – $65
2	Humana humana healthy horizons medicaid ok facility · fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
3	UnitedHealthcare uhc apa facility · other · outpatient	$83	$83	—	—	—	$83 – $83
4	Humana node humana mcr adv facility · fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
5	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$148	$148	—	—	—	$148 – $148
6	Optum node united optum va ccn facility · per diem · outpatient	$151	$151	—	—	—	$151 – $151
7	Tricare node tricare facility · fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
8	Healthcare Highways healthcare highways facility · percent of total billed charges · inpatientfrom % of charges	$448	$448	—	—	—	$448 – $448
9	Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges	$448	$448	—	—	—	$448 – $448
10	Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges	$502	$502	—	—	—	$502 – $502
11	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$538	$538	—	—	—	$538 – $538
12	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$538	$538	—	—	—	$538 – $538
13	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$559	$559	—	—	—	$559 – $559
14	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$559	$559	—	—	—	$559 – $559
15	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$574	$574	—	—	—	$574 – $574
16	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$574	$574	—	—	—	$574 – $574
17	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$588	$588	—	—	—	$588 – $588
18	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$588	$588	—	—	—	$588 – $588
19	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$609	$609	—	—	—	$609 – $609
20	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$609	$609	—	—	—	$609 – $609

Last updated: Apr 1, 2026

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