Occupational therapy re-evaluation and care plan update 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 Reevaluation Charge - 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 $167 is 55% above the median hospital's median price ($108), higher than 74% of the 2,455 hospitals reporting CPT 97168. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97168 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	$159	$159	—	—	—	$159 – $159
5	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$159	$159	—	—	—	$159 – $159
6	Optum node united optum va ccn facility · per diem · outpatient	$162	$162	—	—	—	$162 – $162
7	Tricare node tricare facility · fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
8	Healthcare Highways healthcare highways facility · percent of total billed charges · inpatientfrom % of charges	$482	$482	—	—	—	$482 – $482
9	Healthcare Highways healthcare highways facility · percent of total billed charges · outpatientfrom % of charges	$482	$482	—	—	—	$482 – $482
10	Phcs phcs savility facility · percent of total billed charges · outpatientfrom % of charges	$540	$540	—	—	—	$540 – $540
11	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$578	$578	—	—	—	$578 – $578
12	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$578	$578	—	—	—	$578 – $578
13	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$601	$601	—	—	—	$601 – $601
14	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$601	$601	—	—	—	$601 – $601
15	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$617	$617	—	—	—	$617 – $617
16	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$617	$617	—	—	—	$617 – $617
17	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$632	$632	—	—	—	$632 – $632
18	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$632	$632	—	—	—	$632 – $632
19	Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges	$655	$655	—	—	—	$655 – $655
20	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$655	$655	—	—	—	$655 – $655

Last updated: Apr 1, 2026

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