Physical therapy evaluation, low complexity at Springhill Memorial 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

LOW COMPLEXITY PT EVALUATION

Mobile, AL

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How this price compares nationally

Springhill Memorial Hospital’s median price of $91 is 39% below the median hospital's median price ($150), higher than 5% of the 2,543 hospitals reporting CPT 97161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97161 at Springhill Memorial Hospital

Negotiated rates from the hospital’s own file: 9 payers, 12 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	UnitedHealthcare commercial all payer other · outpatient	$17.43	$17.43	$17.43 – $17.43
2	UnitedHealthcare medicare advantage other · outpatient	$39.25	$39.25	$39.25 – $39.25
3	Bcbs Al blue advantage (medicare advantage) other · outpatient	$47.80	$47.80	$47.80 – $47.80
4	Bcbs Al commercial ppo other · outpatient	$47.80	$47.80	$47.80 – $47.80
5	Cigna commercial other · outpatient	$53.34	$53.34	$53.34 – $53.34
6	Tricare standard other · outpatient	$89.86	$89.86	$89.86 – $89.86
7	Aetna aetna commercial - complete rate data (hmo/ppo/pos) other · outpatient	$91.32	$91.32	$91.32 – $91.32
8	Aetna medicare advantage hmo/ppo/pos other · outpatient	$91.32	$91.32	$91.32 – $91.32
9	Devoted medicare advantage other · outpatient	$91.32	$91.32	$91.32 – $91.32
10	Humana standard other · outpatient	$91.32	$91.32	$91.32 – $91.32
11	Optum standard other · outpatient	$91.32	$91.32	$91.32 – $91.32
12	WellCare medicare advantage other · outpatient	$91.32	$91.32	$91.32 – $91.32

Last updated: Apr 2, 2026

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