Physical therapy evaluation, moderate complexity at Naples 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

PT EVAL- MOD CMP PTA

Naples, FL

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Pricing by billing methodology

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How this price compares nationally

Naples HMA LLC’s median price of $168 is 4% above the median hospital's median price ($161), higher than 53% 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 Naples HMA LLC

Negotiated rates from the hospital’s own file: 10 payers, 28 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	Tricare node tricare facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
2	Aetna node aetna mcr adv facility · fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
3	Blue Cross Blue Shield node bcbs fl mcr adv facility · fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
4	Humana node humana mcr adv facility · fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
5	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
6	Optum node united optum va ccn facility · per diem · outpatient	$99	$99	—	—	—	$99 – $99
7	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
8	Cigna cigna all facility · fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
9	UnitedHealthcare uhc medicaid fl facility · fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
10	Humana humana medicaid fl facility · fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
11	WellCare wellcare medicaid fl facility · fee schedule · outpatient	$165	$165	—	—	—	$165 – $165
12	Magellan magellan medicaid fl facility · fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
13	Ambetter sunshine state health plan commercial exchange facility · fee schedule · outpatient	$253	$253	—	—	—	$253 – $253
14	UnitedHealthcare uhc nhp facility · per diem · outpatient	$303	$303	—	—	—	$303 – $303
15	Aetna aetna asa facility · per diem · outpatient	$342	$342	—	—	—	$342 – $342
16	UnitedHealthcare uhc apa facility · per diem · outpatient	$348	$348	—	—	—	$348 – $348
17	Aetna aetna facility · per diem · outpatient	$349	$349	—	—	—	$349 – $349
18	Aetna aetna intl passport facility · percent of total billed charges · inpatientfrom % of charges	$713	$713	—	—	—	$713 – $713
19	Aetna aetna intl passport facility · percent of total billed charges · outpatientfrom % of charges	$713	$713	—	—	—	$713 – $713
20	Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges	$863	$863	—	—	—	$863 – $863
21	Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges	$863	$863	—	—	—	$863 – $863
22	Blue Cross Blue Shield bcbs fl mbn facility · per diem · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
23	Blue Cross Blue Shield bcbs fl sbn facility · per diem · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
24	Blue Cross Blue Shield bcbs fl hmo facility · per diem · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
25	Blue Cross Blue Shield bcbs fl bsl facility · per diem · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Page 1 of 2 · 28 rates

Last updated: Apr 1, 2026

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See Physical therapy evaluation, moderate complexity pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.