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
97161 PT EVAL LOW COMPLEX 20 MIN
Washington, DC
See all hospitals reporting CPT 97161 →Price type
Children's National Hospital’s median price of $126 is 16% below the median hospital's median price ($150), higher than 39% 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, 24 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 | Carefirst managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $105.84 | $105.84 | $105.84 – $105.84 |
| 2 | Kaiser managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $105.84 | $105.84 | $105.84 – $105.84 |
| 3 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $105.84 | $105.84 | $105.84 – $105.84 |
| 4 | Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $108.78 | $108.78 | $108.78 – $108.78 |
| 5 | Anthem hmo facility · fee schedule · outpatient | $110.07 | $110.07 | $110.07 – $110.07 |
| 6 | Anthem hmx facility · fee schedule · outpatient | $110.07 | $110.07 | $110.07 – $110.07 |
| 7 | Anthem ppo/par facility · fee schedule · outpatient | $110.07 | $110.07 | $110.07 – $110.07 |
| 8 | Cigna epo facility · percent of total billed charges · inpatientfrom % of charges | $123.48 | $123.48 | $123.48 – $123.48 |
| 9 | Cigna epo facility · percent of total billed charges · outpatientfrom % of charges | $123.48 | $123.48 | $123.48 – $123.48 |
| 10 | Aetna Better Health managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $126.42 | $126.42 | $126.42 – $126.42 |
| 11 | Carefirst managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $126.42 | $126.42 | $126.42 – $126.42 |
| 12 | Kaiser managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $126.42 | $126.42 | $126.42 – $126.42 |
| 13 | UnitedHealthcare managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $126.42 | $126.42 | $126.42 – $126.42 |
| 14 | UnitedHealthcare all payer facility · fee schedule · outpatient | $127.00 | $127.00 | $127.00 – $127.00 |
| 15 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $137.00 | $137.00 | $137.00 – $137.00 |
| 16 | Aetna commercial facility · fee schedule · outpatient | $143.00 | $143.00 | $143.00 – $143.00 |
| 17 | Anthem hmo facility · percent of total billed charges · inpatientfrom % of charges | $152.00 | $152.00 | $152.00 – $152.00 |
| 18 | Anthem hmx facility · percent of total billed charges · inpatientfrom % of charges | $152.00 | $152.00 | $152.00 – $152.00 |
| 19 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $157.00 | $157.00 | $157.00 – $157.00 |
| 20 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $157.00 | $157.00 | $157.00 – $157.00 |
| 21 | Anthem ppo/par facility · percent of total billed charges · inpatientfrom % of charges | $160.82 | $160.82 | $160.82 – $160.82 |
| 22 | Cigna oap facility · fee schedule · outpatient | $223.00 | $223.00 | $223.00 – $223.00 |
| 23 | Cigna ppo facility · fee schedule · outpatient | $223.00 | $223.00 | $223.00 – $223.00 |
| 24 | Carefirst rpn facility · fee schedule · outpatient | $2,196 | $2,196 | $2,196 – $2,196 |
Last updated: Apr 2, 2026
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