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
Charlotte, NC
See all hospitals reporting CPT 97161 →Price type
Carolinas Medical Center’s median price of $172 is 14% above the median hospital's median price ($150), higher than 58% 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, 30 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Amerihealth Caritas managed medicaid fee schedule · both | $68.13 | $68.13 | $68.13 – $68.13 |
| 2 | UnitedHealthcare managed medicaid fee schedule · both | $68.13 | $68.13 | $68.13 – $68.13 |
| 3 | WellCare managed medicaid fee schedule · both | $68.13 | $68.13 | $68.13 – $68.13 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $76.79 | $76.79 | $76.79 – $76.79 |
| 5 | Bcbs Nc medicare advantage percent of total billed charges · outpatientfrom % of charges | $76.79 | $76.79 | $76.79 – $76.79 |
| 6 | Cigna Healthspring medicare advantage percent of total billed charges · outpatientfrom % of charges | $76.79 | $76.79 | $76.79 – $76.79 |
| 7 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $76.79 | $76.79 | $76.79 – $76.79 |
| 8 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $88.15 | $88.15 | $88.15 – $88.15 |
| 9 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $89.80 | $89.80 | $89.80 – $89.80 |
| 10 | Bcbs Nc medicare advantage fee schedule · both | $94.11 | $94.11 | $94.11 – $94.11 |
| 11 | Humana medicare advantage fee schedule · both | $95.99 | $95.99 | $95.99 – $95.99 |
| 12 | Aetna medicare advantage fee schedule · both | $97.40 | $97.40 | $97.40 – $97.40 |
| 13 | Cigna Healthspring medicare advantage fee schedule · both | $98.82 | $98.82 | $98.82 – $98.82 |
| 14 | Medcost commercial percent of total billed charges · inpatientfrom % of charges | $125.29 | $125.29 | $125.29 – $125.29 |
| 15 | Medcost commercial percent of total billed charges · outpatientfrom % of charges | $129.33 | $129.33 | $129.33 – $129.33 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $131.87 | $131.87 | $131.87 – $131.87 |
| 17 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $161.86 | $161.86 | $161.86 – $161.86 |
| 18 | Bcbs Nc local group commercial percent of total billed charges · inpatientfrom % of charges | $163.28 | $163.28 | $163.28 – $163.28 |
| 19 | Bcbs Nc local individual commercial percent of total billed charges · inpatientfrom % of charges | $171.56 | $171.56 | $171.56 – $171.56 |
| 20 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $177.91 | $177.91 | $177.91 – $177.91 |
| 21 | Bcbs Nc hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $214.85 | $214.85 | $214.85 – $214.85 |
| 22 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $234.08 | $234.08 | $234.08 – $234.08 |
| 23 | Magellan behavioral health percent of total billed charges · outpatientfrom % of charges | $242.49 | $242.49 | $242.49 – $242.49 |
| 24 | Cigna behavioral health percent of total billed charges · outpatientfrom % of charges | $323.32 | $323.32 | $323.32 – $323.32 |
| 25 | Humana behavioral health percent of total billed charges · inpatientfrom % of charges | $331.40 | $331.40 | $331.40 – $331.40 |
Last updated: Dec 4, 2025
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.