Occupational therapy re-evaluation and care plan update at Methodist Hospital

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

RE-EVALUATION OT

SAN ANTONIO, TX

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How this price compares nationally

Methodist Hospital’s median price of $67 is 38% below the median hospital's median price ($107), higher than 10% of the 2,413 hospitals reporting CPT 97168. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97168 at Methodist Hospital

Negotiated rates from the hospital’s own file: 12 payers, 46 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	First Health chip percent of total billed charges · outpatientfrom % of charges	$36	$36	$1	3%	—	$35 – $37
2	First Health chipperinate percent of total billed charges · outpatientfrom % of charges	$36	$36	$1	3%	—	$35 – $37
3	First Health mcdstar percent of total billed charges · outpatientfrom % of charges	$36	$36	$1	3%	—	$35 – $37
4	Oscar broadnetworkhix percent of total billed charges · outpatientfrom % of charges	$60	$60	$2	3%	—	$58 – $62
5	Oscar epo percent of total billed charges · outpatientfrom % of charges	$60	$60	$2	3%	—	$58 – $62
6	Oscar pos percent of total billed charges · outpatientfrom % of charges	$60	$60	$2	3%	—	$58 – $62
7	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$60	$60	$2	3%	—	$58 – $62
8	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$63	$63	$4	6%	—	$59 – $67
9	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$63	$63	$4	6%	—	$59 – $67
10	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$63	$63	$4	6%	—	$59 – $67
11	Devoted dualeligible fee schedule · outpatient	$63	$63	$4	6%	—	$59 – $67
12	Devoted mcrhmo fee schedule · outpatient	$63	$63	$4	6%	—	$59 – $67
13	Devoted mcrpffs fee schedule · outpatient	$63	$63	$4	6%	—	$59 – $67
14	Devoted mcrpos fee schedule · outpatient	$63	$63	$4	6%	—	$59 – $67
15	Devoted mcrppo fee schedule · outpatient	$63	$63	$4	6%	—	$59 – $67
16	Devoted mcrsnp fee schedule · outpatient	$63	$63	$4	6%	—	$59 – $67
17	Aetna mcr fee schedule · outpatient	$64	$64	$4	6%	—	$60 – $68
18	UnitedHealthcare mcr fee schedule · outpatient	$64	$64	$4	6%	—	$60 – $68
19	WellCare mcrhmo fee schedule · outpatient	$64	$64	$4	6%	—	$60 – $69
20	WellCare mcrpos fee schedule · outpatient	$64	$64	$4	6%	—	$60 – $69
21	WellCare mcrppo fee schedule · outpatient	$64	$64	$4	6%	—	$60 – $69
22	WellCare mcrsnp fee schedule · outpatient	$64	$64	$4	6%	—	$60 – $69
23	WellCare pffs fee schedule · outpatient	$64	$64	$4	6%	—	$60 – $69
24	Clover mcr fee schedule · outpatient	$66	$66	$4	6%	—	$62 – $70
25	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$75	$75	$3	3%	—	$72 – $78

Page 1 of 2 · 46 rates

Last updated: May 1, 2026

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