Physical therapy evaluation, moderate complexity at Methodist Hospital Stone Oak

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: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o

San Antonio, TX

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How this price compares nationally

Methodist Hospital Stone Oak’s median price of $97 is 40% below the median hospital's median price ($161), higher than 12% of the 2,632 hospitals reporting CPT 97162. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97162 at Methodist Hospital Stone Oak

Negotiated rates from the hospital’s own file: 10 payers, 43 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	$82	$82	—	—	—	$82 – $82
2	First Health chipperinate percent of total billed charges · outpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
3	First Health mcdstar percent of total billed charges · outpatientfrom % of charges	$82	$82	—	—	—	$82 – $82
4	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$90	$90	$6	6%	—	$84 – $95
5	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$90	$90	$6	6%	—	$84 – $95
6	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$90	$90	$6	6%	—	$84 – $95
7	Devoted dualeligible fee schedule · outpatient	$90	$90	$6	6%	—	$84 – $95
8	Devoted mcrhmo fee schedule · outpatient	$90	$90	$6	6%	—	$84 – $95
9	Devoted mcrpffs fee schedule · outpatient	$90	$90	$6	6%	—	$84 – $95
10	Devoted mcrpos fee schedule · outpatient	$90	$90	$6	6%	—	$84 – $95
11	Devoted mcrppo fee schedule · outpatient	$90	$90	$6	6%	—	$84 – $95
12	Devoted mcrsnp fee schedule · outpatient	$90	$90	$6	6%	—	$84 – $95
13	Aetna mcr fee schedule · outpatient	$91	$91	$6	6%	—	$86 – $97
14	UnitedHealthcare mcr fee schedule · outpatient	$92	$92	$6	6%	—	$86 – $97
15	WellCare mcrhmo fee schedule · outpatient	$92	$92	$6	6%	—	$87 – $98
16	WellCare mcrpos fee schedule · outpatient	$92	$92	$6	6%	—	$87 – $98
17	WellCare mcrppo fee schedule · outpatient	$92	$92	$6	6%	—	$87 – $98
18	WellCare mcrsnp fee schedule · outpatient	$92	$92	$6	6%	—	$87 – $98
19	WellCare pffs fee schedule · outpatient	$92	$92	$6	6%	—	$87 – $98
20	Clover mcr fee schedule · outpatient	$94	$94	$6	6%	—	$88 – $100
21	Oscar broadnetworkhix percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
22	Oscar epo percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
23	Oscar pos percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
24	Oscar ppo percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
25	Molina mcr fee schedule · outpatient	$143	$143	$9	6%	—	$134 – $152

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Last updated: May 1, 2026

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