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
HC - PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS
Malone, NY
See all hospitals reporting CPT 97161 →Price type
Alice Hyde Medical Center’s median price of $95 is 36% below the median hospital's median price ($150), higher than 10% 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: 5 payers, 10 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 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $80.92 | $80.92 | $80.92 – $80.92 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $95.37 | $95.37 | $95.37 – $95.37 |
| 3 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $95.37 | $95.37 | $95.37 – $95.37 |
| 4 | Humana tricare facility · percent of total billed charges · outpatientfrom % of charges | $95.37 | $95.37 | $95.37 – $95.37 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $95.37 | $95.37 | $95.37 – $95.37 |
| 6 | UnitedHealthcare managed medicaid/essential plans facility · fee schedule · outpatient | $97.02 | $97.02 | $97.02 – $97.02 |
| 7 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $241.63 | $241.63 | $241.63 – $241.63 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $251.14 | $251.14 | $251.14 – $251.14 |
| 9 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $258.94 | $258.94 | $258.94 – $258.94 |
| 10 | UnitedHealthcare commercial facility · per diem · outpatient | $484.30 | $484.30 | $484.30 – $484.30 |
Last updated: Sep 8, 2026
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