Physical therapy evaluation, moderate complexity at UPMC Memorial

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

HC NEW PT EVAL: MODERATE COMPLEXITY

York, PA

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How this price compares nationally

UPMC Memorial’s median price of $247 is 53% above the median hospital's median price ($161), higher than 75% 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 UPMC Memorial

Negotiated rates from the hospital’s own file: 6 payers, 14 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 pa medicaid facility · fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
2	Highmark medicare facility · fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
3	Aetna medicare facility · fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
4	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101
5	UnitedHealthcare commercial facility · fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
6	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$209	$209	—	—	—	$209 – $209
7	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$243	$243	—	—	—	$243 – $243
8	Aetna aco facility · percent of total billed charges · inpatientfrom % of charges	$247	$247	—	—	—	$247 – $247
9	Blue Cross Blue Shield chip facility · per diem · outpatient	$274	$274	—	—	—	$274 – $274
10	Blue Cross Blue Shield commercial facility · per diem · outpatient	$274	$274	—	—	—	$274 – $274
11	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$287	$287	—	—	—	$287 – $287
12	Cigna commercial facility · per diem · outpatient	$387	$387	—	—	—	$387 – $387
13	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$430	$430	—	—	—	$430 – $430
14	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$430	$430	—	—	—	$430 – $430

Last updated: Mar 6, 2026

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