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.
Original text from hospital filings
HC Pt Re-Evaluation (120 Minutes)
San Angelo, TX
See all hospitals reporting CPT 97164 →Price type
Shannon River Crest Hospital’s median price of $211 is 97% above the median hospital's median price ($107), higher than 87% of the 2,576 hospitals reporting CPT 97164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | Humana medicare advantage facility · case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 2 | Ambetter ppo facility · case rate · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 3 | Bcbs Tx hmo facility · fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 4 | Bcbs Tx bav facility · fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 5 | Bcbs Tx ppo facility · fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 6 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $309 | $309 | — | — | — | $309 – $309 |
| 7 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $309 | $309 | — | — | 18 | $309 – $309 |
| 8 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $337 | $337 | — | — | 6–60 | $337 – $337 |
| 9 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $351 | $351 | — | — | — | $351 – $351 |
| 10 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $351 | $351 | — | — | — | $351 – $351 |
| 11 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $351 | $351 | — | — | — | $351 – $351 |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $351 | $351 | — | — | — | $351 – $351 |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $351 | $351 | — | — | — | $351 – $351 |
| 14 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $365 | $365 | — | — | — | $365 – $365 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $365 | $365 | — | — | 16 | $365 – $365 |
| 16 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $374 | $374 | — | — | — | $374 – $374 |
| 17 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $374 | $374 | — | — | — | $374 – $374 |
Last updated: Dec 8, 2025
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