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
Pt eval low complex 20 min
Clifton Springs, NY
See all hospitals reporting CPT 97161 →Price type
Clifton Springs Hospital And Clinic’s median price of $87 is 42% below the median hospital's median price ($150), higher than 4% 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: 3 payers, 10 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 | Cigna essential facility · fee schedule · outpatient | $71.18 | $71.18 | $71.18 – $71.18 |
| 2 | Cigna medicaid option facility · fee schedule · outpatient | $71.18 | $71.18 | $71.18 – $71.18 |
| 3 | Excellus medicare advantage facility · fee schedule · outpatient | $82.10 | $82.10 | $82.10 – $82.10 |
| 4 | Cigna commercial individual exchange facility · fee schedule · outpatient | $87.09 | $87.09 | $87.09 – $87.09 |
| 5 | Highmark commercial facility · fee schedule · outpatient | $87.17 | $87.17 | $87.17 – $87.17 |
| 6 | Cigna medicare advantage dual dsnp facility · fee schedule · outpatient | $87.21 | $87.21 | $87.21 – $87.21 |
| 7 | Cigna medicare advantage gold hmo facility · fee schedule · outpatient | $87.21 | $87.21 | $87.21 – $87.21 |
| 8 | Cigna medicare advantage gold ppo facility · fee schedule · outpatient | $87.21 | $87.21 | $87.21 – $87.21 |
| 9 | Cigna commercial facility · fee schedule · outpatient | $120.20 | $120.20 | $120.20 – $120.20 |
| 10 | Excellus commercial facility · fee schedule · outpatient | $221.14 | $221.14 | $221.14 – $221.14 |
Last updated: Apr 1, 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.