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
Macon, GA
See all hospitals reporting CPT 97161 →Price type
Central Georgia Rehabilitation LLC’s median price of $151 is about the same as the median hospital's median price ($150), higher than 50% 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: 11 payers, 31 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 medicare advantage fee schedule · both | $92.68 | $92.68 | $92.68 – $92.68 |
| 2 | Aetna medicare advantage fee schedule · outpatient | $92.68 | $92.68 | $92.68 – $92.68 |
| 3 | Anthem medicare advantage fee schedule · both | $92.68 | $92.68 | $92.68 – $92.68 |
| 4 | Anthem medicare advantage fee schedule · outpatient | $92.68 | $92.68 | $92.68 – $92.68 |
| 5 | Humana medicare advantage fee schedule · both | $92.68 | $92.68 | $92.68 – $92.68 |
| 6 | Humana medicare advantage fee schedule · outpatient | $92.68 | $92.68 | $92.68 – $92.68 |
| 7 | UnitedHealthcare medicare advantage fee schedule · both | $92.68 | $92.68 | $92.68 – $92.68 |
| 8 | UnitedHealthcare medicare advantage fee schedule · outpatient | $92.68 | $92.68 | $92.68 – $92.68 |
| 9 | Caresource medicare advantage fee schedule · both | $94.53 | $94.53 | $94.53 – $94.53 |
| 10 | Clover medicare advantage fee schedule · both | $94.53 | $94.53 | $94.53 – $94.53 |
| 11 | Caresource medicare advantage fee schedule · outpatient | $94.54 | $94.54 | $94.54 – $94.54 |
| 12 | Clover medicare advantage fee schedule · outpatient | $94.54 | $94.54 | $94.54 – $94.54 |
| 13 | Kaiser commercial fee schedule · both | $95.46 | $95.46 | $95.46 – $95.46 |
| 14 | Ambetter managed medicaid fee schedule · both | $125.12 | $125.12 | $125.12 – $125.12 |
| 15 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $139.20 | $139.20 | $139.20 – $139.20 |
| 16 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $221.05 | $221.05 | $221.05 – $221.05 |
| 17 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $236.64 | $236.64 | $236.64 – $236.64 |
| 18 | Cigna commercial case rate · outpatient | $266.00 | $266.00 | $266.00 – $266.00 |
| 19 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $273.30 | $273.30 | $273.30 – $273.30 |
| 20 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $273.76 | $273.76 | $273.76 – $273.76 |
| 21 | UnitedHealthcare commercial case rate · outpatient | $294.00 | $294.00 | $294.00 – $294.00 |
| 22 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $301.60 | $301.60 | $301.60 – $301.60 |
| 23 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $301.60 | $301.60 | $301.60 – $301.60 |
| 24 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $301.60 | $301.60 | $301.60 – $301.60 |
| 25 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $301.60 | $301.60 | $301.60 – $301.60 |
Last updated: Nov 19, 2025
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