Physical therapy evaluation, moderate complexity at Wheeling Hospital, Inc.

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

EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES

Wheeling, WV

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Pricing by billing methodology

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How this price compares nationally

Wheeling Hospital, Inc.’s median price of $97 is 40% below the median hospital's median price ($161), higher than 10% 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 Wheeling Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 24 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	Caresource managed medicaid facility · other · outpatient	$58	$58	—	—	1–10	$58 – $58
2	Highmark highmark wholecare pennsylvania medicaid facility · other · outpatient	$60	$60	—	—	—	$60 – $60
3	Amerihealth Caritas managed medicaid facility · other · outpatient	$61	$61	—	—	1–10	$61 – $61
4	UnitedHealthcare unison kids facility · fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
5	Aetna Better Health chip facility · fee schedule · outpatient	$69	$69	$5	8%	—	$64 – $74
6	Highmark chip facility · fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
7	Highmark mgd mcaid facility · fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
8	Aetna better health mgd medicaid facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
9	Aetna better health mgd medicaid facility · other · outpatient	$74	$74	—	—	1–10	$74 – $74
10	Anthem anthem pathway facility · other · outpatient	$92	$92	—	—	—	$92 – $92
11	Caresource all plans facility · other · outpatient	$92	$92	—	—	—	$92 – $92
12	Molina all plans facility · other · outpatient	$92	$92	—	—	—	$92 – $92
13	Anthem hmo facility · other · outpatient	$95	$95	—	—	—	$95 – $95
14	Highmark all pla facility · other · outpatient	$95	$95	—	—	—	$95 – $95
15	Highmark all plans facility · other · outpatient	$96	$96	—	—	—	$96 – $96
16	Aetna all plans facility · other · outpatient	$97	$97	—	—	—	$97 – $97
17	Humana all plans facility · other · outpatient	$97	$97	—	—	—	$97 – $97
18	UnitedHealthcare all plans facility · other · outpatient	$100	$100	—	—	—	$100 – $100
19	Caresource caresource oh exchange facility · other · outpatient	$101	$101	—	—	—	$101 – $101
20	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$374	$374	—	—	1–10	$374 – $374
21	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$383	$383	—	—	1–10	$383 – $383
22	UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges	$385	$385	—	—	1–10	$385 – $385
23	Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient	$390	$390	—	—	—	$390 – $390
24	Blue Cross Blue Shield blue cross blue shield traditional facility · other · outpatient	$390	$390	—	—	—	$390 – $390

Last updated: Jul 9, 2026

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