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
P/T EVAL HIGH COMPLEXITY
Toccoa, GA
See all hospitals reporting CPT 97163 →Price type
Stephens County Hospital’s median price of $200 is 19% above the median hospital's median price ($169), higher than 59% of the 2,582 hospitals reporting CPT 97163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 8 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid medicaid percent of total billed charges · outpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 2 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $194 | $194 | — | — | 1–10 | $194 – $194 |
| 4 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $206 | $206 | — | — | — | $206 – $206 |
| 5 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $213 | $213 | — | — | 1–10 | $213 – $213 |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $218 | $218 | — | — | — | $218 – $218 |
| 7 | Caresource medicare fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 8 | Medicare medicare fee schedule · outpatient | $243 | $243 | — | — | 1–10 | $243 – $243 |
Last updated: May 19, 2026
See Physical therapy high-complexity evaluation, 45 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.