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
Plattsburgh, NY
See all hospitals reporting CPT 97161 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $179 is 19% above the median hospital's median price ($150), higher than 61% 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: 6 payers, 15 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 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $52.80 | $52.80 | $52.80 – $52.80 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $95.04 | $95.04 | $95.04 – $95.04 |
| 3 | UnitedHealthcare managed medicaid/essential plans facility · fee schedule · outpatient | $97.02 | $97.02 | $97.02 – $97.02 |
| 4 | Blue Cross Blue Shield managed medicaid aliessa facility · fee schedule · outpatient | $101.87 | $101.87 | $101.87 – $101.87 |
| 5 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $161.04 | $161.04 | $161.04 – $161.04 |
| 6 | Highmark ind/fep facility · per diem · outpatient | $168.70 | $168.70 | $168.70 – $168.70 |
| 7 | Highmark ppo/hmo facility · per diem · outpatient | $168.70 | $168.70 | $168.70 – $168.70 |
| 8 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $168.96 | $168.96 | $168.96 – $168.96 |
| 9 | Blue Cross Blue Shield ind facility · percent of total billed charges · outpatientfrom % of charges | $168.96 | $168.96 | $168.96 – $168.96 |
| 10 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $168.96 | $168.96 | $168.96 – $168.96 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $188.23 | $188.23 | $188.23 – $188.23 |
| 12 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $192.30 | $192.30 | $192.30 – $192.30 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $201.43 | $201.43 | $201.43 – $201.43 |
| 14 | Blue Cross Blue Shield essential plans/managed medicaid facility · fee schedule · outpatient | $218.29 | $218.29 | $218.29 – $218.29 |
| 15 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $250.80 | $250.80 | $250.80 – $250.80 |
Last updated: Apr 28, 2026
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