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
PR Physical Therapy Evaluation Low Complex 20 Mins
Des Moines, IA
See all hospitals reporting CPT 97161 →Price type
Catholic Health Initiatives-Iowa Corp’s median price of $92 is 39% below the median hospital's median price ($150), higher than 5% 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: 32 payers, 177 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 aetna medicaid professional · fee schedule · inpatient | $66.05 | $66.05 | $66.05 – $66.05 |
| 2 | Aetna aetna medicaid professional · fee schedule · outpatient | $66.05 | $66.05 | $66.05 – $66.05 |
| 3 | UnitedHealthcare united healthcare professional · fee schedule · inpatient | $72.78 | $72.78 | $72.78 – $72.78 |
| 4 | Amerihealth Caritas medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 5 | Anthem medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 6 | Blue Cross Blue Shield medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 7 | Carefirst medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 8 | Caresource medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 9 | Cigna medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 10 | Excellus medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 11 | First Health medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 12 | Highmark medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 13 | Humana medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 14 | Kaiser medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 15 | Magellan medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 16 | Medicaid medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 17 | Molina medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 18 | UnitedHealthcare medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 19 | WellCare medicaid iowa professional · fee schedule · outpatient | $73.33 | $73.33 | $73.33 – $73.33 |
| 20 | Molina molina medicaid professional · fee schedule · outpatient | $75.16 | $75.16 | $75.16 – $75.16 |
| 21 | Molina molina medicaid facility · fee schedule · both | $75.53 | $75.53 | $75.53 – $75.53 |
| 22 | Molina molina medicaid facility · fee schedule · outpatient | $75.53 | $75.53 | $75.53 – $75.53 |
| 23 | Ucare ucare medicaid professional · fee schedule · inpatient | $78.15 | $78.15 | $78.15 – $78.15 |
| 24 | Ucare ucare medicaid professional · fee schedule · outpatient | $78.15 | $78.15 | $78.15 – $78.15 |
| 25 | Aetna medicare professional · fee schedule · inpatient | $78.34 | $78.34 | $78.34 – $78.34 |
Last updated: Mar 31, 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.