Physical therapy evaluation, low complexity at Medical City Dallas

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

Dallas, TX

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How this price compares nationally

Medical City Dallas’s median price of $105 is 30% below the median hospital's median price ($150), higher than 28% 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 Dallas

Negotiated rates from the hospital’s own file: 14 payers, 56 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	$35.09	$35.09	$35.09 – $35.09
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$35.09	$35.09	$35.09 – $35.09
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$35.09	$35.09	$35.09 – $35.09
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$35.09	$35.09	$35.09 – $35.09
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$35.09	$35.09	$35.09 – $35.09
6	Optum mcd percent of total billed charges · outpatientfrom % of charges	$55.15	$55.15	$55.15 – $55.15
7	Cigna ifp percent of total billed charges · outpatientfrom % of charges	$67.68	$67.68	$67.68 – $67.68
8	Cigna qhp percent of total billed charges · outpatientfrom % of charges	$70.18	$70.18	$70.18 – $70.18
9	Devoted hmo fee schedule · outpatient	$92.22	$92.22	$86.33 – $98.10
10	Devoted mcr fee schedule · outpatient	$92.22	$92.22	$86.33 – $98.10
11	Devoted mme fee schedule · outpatient	$92.22	$92.22	$86.33 – $98.10
12	Devoted pos fee schedule · outpatient	$92.22	$92.22	$86.33 – $98.10
13	Devoted ppo fee schedule · outpatient	$92.22	$92.22	$86.33 – $98.10
14	Devoted snp fee schedule · outpatient	$92.22	$92.22	$86.33 – $98.10
15	Humana mgmcr fee schedule · outpatient	$92.22	$92.22	$86.33 – $98.10
16	UnitedHealthcare mgmcr fee schedule · outpatient	$92.68	$92.68	$86.76 – $98.59
17	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$92.81	$92.81	$86.88 – $98.73
18	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$92.81	$92.81	$86.88 – $98.73
19	Aetna mcr fee schedule · outpatient	$93.00	$93.00	$87.06 – $98.93
20	Cigna Healthspring mgmcr fee schedule · outpatient	$94.06	$94.06	$88.05 – $100.06
21	WellCare mgmcr fee schedule · outpatient	$94.98	$94.98	$88.92 – $101.04
22	Humana tricare fee schedule · outpatient	$95.77	$95.77	$95.77 – $95.77
23	Superior Healthplan mgmcrdualeligible fee schedule · outpatient	$96.82	$96.82	$90.64 – $103.00
24	Superior Healthplan mgmcrhmo fee schedule · outpatient	$96.82	$96.82	$90.64 – $103.00
25	Superior Healthplan mgmcrpffs fee schedule · outpatient	$96.82	$96.82	$90.64 – $103.00

Page 1 of 3 · 56 rates

Last updated: Mar 1, 2026

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