Physical therapy evaluation, low complexity at Ann & Robert H. Lurie Children's Hospital of Chicago

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

H PT EVAL LOW COMPLEX

Chicago, IL

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How this price compares nationally

Ann & Robert H. Lurie Children's Hospital of Chicago’s median price of $548 is 265% above the median hospital's median price ($150), higher than 99% of the 2,543 hospitals reporting CPT 97161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97161 at Ann & Robert H. Lurie Children's Hospital of Chicago

Negotiated rates from the hospital’s own file: 10 payers, 42 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 unitedhealthcare navigate other · outpatient	$109.00	$109.00	$109.00 – $109.00
2	Medicare medicare percent of total billed charges · outpatientfrom % of charges	$116.45	$116.45	$116.45 – $116.45
3	UnitedHealthcare unitedhealthcare other · outpatient	$118.00	$118.00	$118.00 – $118.00
4	Cigna cigna local plus percent of total billed charges · inpatientfrom % of charges	$287.70	$287.70	$287.70 – $287.70
5	Cigna cigna local plus percent of total billed charges · outpatientfrom % of charges	$287.70	$287.70	$287.70 – $287.70
6	Blue Cross Blue Shield bcbs hmo percent of total billed charges · outpatientfrom % of charges	$296.61	$296.61	$296.61 – $296.61
7	Blue Cross Blue Shield bcbs ppo percent of total billed charges · outpatientfrom % of charges	$312.36	$312.36	$312.36 – $312.36
8	Aetna aetna northwestern percent of total billed charges · inpatientfrom % of charges	$342.50	$342.50	$342.50 – $342.50
9	Aetna aetna northwestern percent of total billed charges · outpatientfrom % of charges	$342.50	$342.50	$342.50 – $342.50
10	Aetna aetna illinois preferred percent of total billed charges · inpatientfrom % of charges	$363.05	$363.05	$363.05 – $363.05
11	Aetna aetna illinois preferred percent of total billed charges · outpatientfrom % of charges	$363.05	$363.05	$363.05 – $363.05
12	Blue Cross Blue Shield unified physicians network percent of total billed charges · outpatientfrom % of charges	$383.60	$383.60	$383.60 – $383.60
13	Cigna cigna c-5 percent of total billed charges · inpatientfrom % of charges	$394.56	$394.56	$394.56 – $394.56
14	Cigna cigna c-5 percent of total billed charges · outpatientfrom % of charges	$394.56	$394.56	$394.56 – $394.56
15	Blue Cross Blue Shield dupage medical group percent of total billed charges · inpatientfrom % of charges	$411.00	$411.00	$411.00 – $411.00
16	Blue Cross Blue Shield dupage medical group percent of total billed charges · outpatientfrom % of charges	$411.00	$411.00	$411.00 – $411.00
17	Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · inpatientfrom % of charges	$411.00	$411.00	$411.00 – $411.00
18	Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · outpatientfrom % of charges	$411.00	$411.00	$411.00 – $411.00
19	Blue Cross Blue Shield northshore physician associates percent of total billed charges · inpatientfrom % of charges	$445.25	$445.25	$445.25 – $445.25
20	Blue Cross Blue Shield northshore physician associates percent of total billed charges · outpatientfrom % of charges	$445.25	$445.25	$445.25 – $445.25
21	Blue Cross Blue Shield illinois health partners percent of total billed charges · inpatientfrom % of charges	$479.50	$479.50	$479.50 – $479.50
22	Blue Cross Blue Shield illinois health partners percent of total billed charges · outpatientfrom % of charges	$479.50	$479.50	$479.50 – $479.50
23	Blue Cross Blue Shield lake county physician association percent of total billed charges · inpatientfrom % of charges	$479.50	$479.50	$479.50 – $479.50
24	Blue Cross Blue Shield lake county physician association percent of total billed charges · outpatientfrom % of charges	$479.50	$479.50	$479.50 – $479.50
25	Cigna cigna percent of total billed charges · inpatientfrom % of charges	$486.35	$486.35	$486.35 – $486.35

Page 1 of 2 · 42 rates

Last updated: Apr 1, 2026

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