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 EVALUATION 20 MINS W PATIENT AND OR FAMILY
Lenoir, NC
See all hospitals reporting CPT 97161 →Price type
Caldwell Memorial Hospital’s median price of $30 is 80% below the median hospital's median price ($150), higher than 0% 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: 7 payers, 17 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 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $21.77 | $21.77 | $21.77 – $21.77 |
| 2 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $21.77 | $21.77 | $21.77 – $21.77 |
| 3 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $21.77 | $21.77 | $21.77 – $21.77 |
| 4 | Blue Cross Blue Shield blue value facility · percent of total billed charges · outpatientfrom % of charges | $26.96 | $26.96 | $26.96 – $26.96 |
| 5 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $28.28 | $28.28 | $28.28 – $28.28 |
| 6 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $32.32 | $32.32 | $32.32 – $32.32 |
| 7 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $40.30 | $40.30 | $40.30 – $40.30 |
| 8 | Blue Cross Blue Shield blue select/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $42.28 | $42.28 | $42.28 – $42.28 |
| 9 | Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges | $45.55 | $45.55 | $45.55 – $45.55 |
| 10 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $53.53 | $53.53 | $53.53 – $53.53 |
| 11 | Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges | $58.78 | $58.78 | $58.78 – $58.78 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $59.59 | $59.59 | $59.59 – $59.59 |
| 13 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $80.80 | $80.80 | $80.80 – $80.80 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $80.80 | $80.80 | $80.80 – $80.80 |
| 15 | UnitedHealthcare individual exchange facility · per diem · outpatient | $94.00 | $94.00 | $94.00 – $94.00 |
| 16 | Cigna commercial facility · per diem · outpatient | $124.00 | $124.00 | $124.00 – $124.00 |
| 17 | UnitedHealthcare commercial facility · per diem · outpatient | $248.00 | $248.00 | $248.00 – $248.00 |
Last updated: Jun 4, 2026
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