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 Complex 20 Mins
Piedmont, SC
See all hospitals reporting CPT 97161 →Price type
AnMed Piedmont’s median price of $97 is 35% below the median hospital's median price ($150), higher than 12% 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: 15 payers, 63 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 | Blue Cross Blue Shield ah pb bcbs novel innovations professional · fee schedule · inpatient | $53.62 | $53.62 | $53.62 – $53.62 |
| 2 | Blue Cross Blue Shield ah pb bcbs novel innovations professional · fee schedule · outpatient | $53.62 | $53.62 | $53.62 – $53.62 |
| 3 | Blue Cross Blue Shield ah pb bcbs sc professional · fee schedule · inpatient | $53.62 | $53.62 | $53.62 – $53.62 |
| 4 | Blue Cross Blue Shield ah pb bcbs sc professional · fee schedule · outpatient | $53.62 | $53.62 | $53.62 – $53.62 |
| 5 | Cigna ah pb cigna professional · fee schedule · inpatient | $69.62 | $69.62 | $69.62 – $69.62 |
| 6 | Cigna ah pb cigna professional · fee schedule · outpatient | $69.62 | $69.62 | $69.62 – $69.62 |
| 7 | Blue Cross Blue Shield ah pb bcbs state health plan professional · fee schedule · inpatient | $73.73 | $73.73 | $73.73 – $73.73 |
| 8 | Blue Cross Blue Shield ah pb bcbs state health plan professional · fee schedule · outpatient | $73.73 | $73.73 | $73.73 – $73.73 |
| 9 | UnitedHealthcare ah pb united healthcare professional · fee schedule · inpatient | $74.75 | $74.75 | $74.75 – $74.75 |
| 10 | UnitedHealthcare ah pb united healthcare professional · fee schedule · outpatient | $74.75 | $74.75 | $74.75 – $74.75 |
| 11 | Aetna ah pb aetna medicare professional · fee schedule · inpatient | $92.30 | $92.30 | $92.30 – $92.30 |
| 12 | Aetna ah pb aetna medicare professional · fee schedule · outpatient | $92.30 | $92.30 | $92.30 – $92.30 |
| 13 | Blue Cross Blue Shield ah pb bcbs medicare advantage professional · fee schedule · inpatient | $92.30 | $92.30 | $92.30 – $92.30 |
| 14 | Blue Cross Blue Shield ah pb bcbs medicare advantage professional · fee schedule · outpatient | $92.30 | $92.30 | $92.30 – $92.30 |
| 15 | Medicare ah pb medicare part b professional · fee schedule · inpatient | $92.30 | $92.30 | $92.30 – $92.30 |
| 16 | Medicare ah pb medicare part b professional · fee schedule · outpatient | $92.30 | $92.30 | $92.30 – $92.30 |
| 17 | UnitedHealthcare ah pb uhc ma professional · fee schedule · inpatient | $92.30 | $92.30 | $92.30 – $92.30 |
| 18 | UnitedHealthcare ah pb uhc ma professional · fee schedule · outpatient | $92.30 | $92.30 | $92.30 – $92.30 |
| 19 | Humana ah hb xr humana healthy horizons medicaid facility · fee schedule · outpatient | $92.69 | $92.69 | $92.69 – $92.69 |
| 20 | Molina ah hb xr molina medicaid facility · fee schedule · outpatient | $92.69 | $92.69 | $92.69 – $92.69 |
| 21 | Devoted ah pb devoted medicare advantage professional · fee schedule · inpatient | $94.15 | $94.15 | $94.15 – $94.15 |
| 22 | Devoted ah pb devoted medicare advantage professional · fee schedule · outpatient | $94.15 | $94.15 | $94.15 – $94.15 |
| 23 | Humana ah pb humana medicare advantage professional · fee schedule · inpatient | $94.15 | $94.15 | $94.15 – $94.15 |
| 24 | Humana ah pb humana medicare advantage professional · fee schedule · outpatient | $94.15 | $94.15 | $94.15 – $94.15 |
| 25 | Cigna ah pb cigna medicare adv professional · fee schedule · inpatient | $95.07 | $95.07 | $95.07 – $95.07 |
Last updated: Mar 6, 2026
See Physical therapy evaluation, low complexity pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.