Physical therapy re-evaluation and care plan update at Sanford Wheaton

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 RE-EVAL EST PLAN CARE 97164

Wheaton, MN

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How this price compares nationally

Sanford Wheaton’s median price of $238 is 123% above the median hospital's median price ($107), higher than 92% of the 2,576 hospitals reporting CPT 97164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97164 at Sanford Wheaton

Negotiated rates from the hospital’s own file: 8 payers, 26 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	Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
2	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$138	$138	—	—	—	$138 – $138
3	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
4	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
5	Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	1–10	$150 – $150
6	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
7	Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$216	$216	—	—	—	$216 – $216
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$216	$216	—	—	—	$216 – $216
10	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$229	$229	—	—	—	$229 – $229
11	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$229	$229	—	—	—	$229 – $229
12	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$238	$238	—	—	—	$238 – $238
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$238	$238	—	—	—	$238 – $238
14	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
15	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
16	Medica choice percent of total billed charges · outpatientfrom % of charges	$241	$241	—	—	—	$241 – $241
17	Medica choice percent of total billed charges · inpatientfrom % of charges	$242	$242	—	—	—	$242 – $242
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$247	$247	—	—	—	$247 – $247
19	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$247	$247	—	—	—	$247 – $247
20	Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
21	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
22	Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
23	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
24	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$258	$258	—	—	—	$258 – $258

Page 1 of 2 · 26 rates

Last updated: Mar 4, 2026

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See Physical therapy re-evaluation and care plan update pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.