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
PHYSICAL THERAPY EVALUATION: LOW COMPLEXITY, REQUIRING THESE COMPONENTS: A HISTORY WITH NO PERSONAL FACTORS AND/OR COMORBIDITIES THAT IMPACT THE PLAN OF CARE; AN EXAMINATION OF BODY SYSTEM(S) USING STANDARDIZED TESTS AND MEASURES ADDRESSING 1-2 ELEMENTS FROM ANY OF THE FOLLOWING: BODY STRUCTURES AND FUNCTIONS, ACTIVITY LIMITATIONS, AND/OR PARTICIPATION RESTRICTIONS; A CLINICAL PRESENTATION WITH STABLE AND/OR UNCOMPLICATED CHARACTERISTICS; AND CLINICAL DECISION MAKING OF LOW COMPLEXITY USING STANDARDIZED PATIENT ASSESSMENT INSTRUMENT AND/OR MEASURABLE ASSESSMENT OF FUNCTIONAL OUTCOME. TYPICALLY, 20 MINUTES ARE SPENT FACE-TO-FACE WITH THE PATIENT AND/OR FAMILY.
Philadelphia, PA
See all hospitals reporting CPT 97161 →Price type
Albert Einstein Medical Center’s median price of $110 is 27% below the median hospital's median price ($150), higher than 32% of the 2,543 hospitals reporting CPT 97161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 7 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 fee schedule · outpatient | $103.91 | $103.91 | $103.91 – $103.91 |
| 2 | UnitedHealthcare medicare fee schedule · outpatient | $105.99 | $105.99 | $105.99 – $105.99 |
| 3 | Cigna medicare fee schedule · outpatient | $108.07 | $108.07 | $108.07 – $108.07 |
| 4 | Highmark medicare fee schedule · outpatient | $109.11 | $109.11 | $109.11 – $109.11 |
| 5 | Aetna medicare fee schedule · outpatient | $110.14 | $110.14 | $110.14 – $110.14 |
| 6 | WellCare medicare fee schedule · outpatient | $114.30 | $114.30 | $114.30 – $114.30 |
| 7 | Aetna commercial fee schedule · outpatient | $119.88 | $119.88 | $119.88 – $119.88 |
Last updated: Dec 23, 2025
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