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
Falls, MT
See all hospitals reporting CPT 97161 →Price type
Benefis Hospitals Inc’s median price of $238 is 58% above the median hospital's median price ($150), higher than 77% 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: 12 payers, 25 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 | Aetna bhs hb medicare fee schedule · outpatient | $97.98 | $97.98 | $97.98 – $97.98 |
| 2 | Anthem bhs hb medicare fee schedule · outpatient | $97.98 | $97.98 | $97.98 – $97.98 |
| 3 | Blue Cross Blue Shield bhs hb medicare fee schedule · outpatient | $97.98 | $97.98 | $97.98 – $97.98 |
| 4 | Kaiser bhs hb medicare fee schedule · outpatient | $97.98 | $97.98 | $97.98 – $97.98 |
| 5 | Medicare bhs hb medicare fee schedule · outpatient | $97.98 | $97.98 | $97.98 – $97.98 |
| 6 | WellCare bhs hb medicare fee schedule · outpatient | $97.98 | $97.98 | $97.98 – $97.98 |
| 7 | Tricare bhs hb tricare fee schedule · outpatient | $101.63 | $101.63 | $101.63 – $101.63 |
| 8 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $126.62 | $126.62 | $126.62 – $126.62 |
| 9 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $139.67 | $139.67 | $139.67 – $139.67 |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $171.60 | $171.60 | $171.60 – $171.60 |
| 11 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $186.23 | $186.23 | $186.23 – $186.23 |
| 12 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo fee schedule · outpatient | $186.23 | $186.23 | $186.23 – $186.23 |
| 13 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $198.00 | $198.00 | $198.00 – $198.00 |
| 14 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $211.20 | $211.20 | $211.20 – $211.20 |
| 15 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $214.90 | $214.90 | $214.90 – $214.90 |
| 16 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $224.40 | $224.40 | $224.40 – $224.40 |
| 17 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $224.40 | $224.40 | $224.40 – $224.40 |
| 18 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · inpatientfrom % of charges | $227.04 | $227.04 | $227.04 – $227.04 |
| 19 | Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges | $237.60 | $237.60 | $237.60 – $237.60 |
| 20 | Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges | $237.60 | $237.60 | $237.60 – $237.60 |
| 21 | Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges | $237.60 | $237.60 | $237.60 – $237.60 |
| 22 | Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges | $237.60 | $237.60 | $237.60 – $237.60 |
| 23 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $242.88 | $242.88 | $242.88 – $242.88 |
| 24 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $242.88 | $242.88 | $242.88 – $242.88 |
| 25 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $250.80 | $250.80 | $250.80 – $250.80 |
Last updated: Mar 26, 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.