Physical therapy evaluation, low complexity at Medical City Arlington

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

Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st

RED OAK, TX

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How this price compares nationally

Medical City Arlington’s median price of $103 is 32% below the median hospital's median price ($150), higher than 24% of the 2,543 hospitals reporting CPT 97161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97161 at Medical City Arlington

Negotiated rates from the hospital’s own file: 13 payers, 52 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$27.13	$27.13	$27.13 – $27.13
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$27.13	$27.13	$27.13 – $27.13
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$27.13	$27.13	$27.13 – $27.13
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$27.13	$27.13	$27.13 – $27.13
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$27.13	$27.13	$27.13 – $27.13
6	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$52.31	$52.31	$52.31 – $52.31
7	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$54.25	$54.25	$54.25 – $54.25
8	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$72.85	$72.85	$72.85 – $72.85
9	Oscar hix percent of total billed charges · outpatientfrom % of charges	$80.60	$80.60	$80.60 – $80.60
10	Devoted hmo fee schedule · outpatient	$91.78	$91.78	$85.92 – $97.64
11	Devoted mcr fee schedule · outpatient	$91.78	$91.78	$85.92 – $97.64
12	Devoted mme fee schedule · outpatient	$91.78	$91.78	$85.92 – $97.64
13	Devoted pos fee schedule · outpatient	$91.78	$91.78	$85.92 – $97.64
14	Devoted ppo fee schedule · outpatient	$91.78	$91.78	$85.92 – $97.64
15	Devoted snp fee schedule · outpatient	$91.78	$91.78	$85.92 – $97.64
16	Humana mgmcr fee schedule · outpatient	$91.78	$91.78	$85.92 – $97.64
17	UnitedHealthcare mgmcr fee schedule · outpatient	$92.24	$92.24	$86.35 – $98.13
18	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$92.44	$92.44	$86.54 – $98.34
19	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$92.44	$92.44	$86.54 – $98.34
20	Aetna mcr fee schedule · outpatient	$92.56	$92.56	$86.65 – $98.47
21	Cigna Healthspring mgmcr fee schedule · outpatient	$93.62	$93.62	$87.64 – $99.59
22	WellCare mgmcr fee schedule · outpatient	$94.54	$94.54	$88.50 – $100.57
23	Humana tricare fee schedule · outpatient	$95.39	$95.39	$95.39 – $95.39
24	Superior Healthplan mgmcrdualeligible fee schedule · outpatient	$96.37	$96.37	$90.22 – $102.52
25	Superior Healthplan mgmcrhmo fee schedule · outpatient	$96.37	$96.37	$90.22 – $102.52

Page 1 of 3 · 52 rates

Last updated: Mar 1, 2026

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