Physical therapy evaluation, low complexity at Crouse Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Pt eval low complex 20 min

Syracuse, NY

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Pricing by billing methodology

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How this price compares nationally

Crouse Hospital’s median price of $110 is 26% below the median hospital's median price ($150), higher than 32% of the 2,543 hospitals reporting CPT 97161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97161 at Crouse Hospital

Negotiated rates from the hospital’s own file: 6 payers, 20 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 medicare advantage fee schedule · outpatient	$79.20	$79.20	$79.20 – $79.20
2	Humana commerical percent of total billed charges · outpatientfrom % of charges	$80.36	$80.36	$80.36 – $80.36
3	Aetna medicare fee schedule · outpatient	$90.69	$90.69	$90.69 – $90.69
4	Humana medicare advantage fee schedule · outpatient	$90.69	$90.69	$90.69 – $90.69
5	UnitedHealthcare medicare fee schedule · outpatient	$90.69	$90.69	$90.69 – $90.69
6	WellCare medicare advantage fee schedule · outpatient	$95.22	$95.22	$95.22 – $95.22
7	Excellus govt programs/ special products fee schedule · outpatient	$110.32	$110.32	$110.32 – $110.32
8	Molina medicaid hmo fee schedule · outpatient	$110.32	$110.32	$110.32 – $110.32
9	UnitedHealthcare essential plans 1 -4 fee schedule · outpatient	$110.32	$110.32	$110.32 – $110.32
10	UnitedHealthcare medicaid fee schedule · outpatient	$110.32	$110.32	$110.32 – $110.32
11	WellCare medicaid essential plan 3 and 4 fee schedule · outpatient	$110.32	$110.32	$110.32 – $110.32
12	WellCare medicaid essential plan 1 and 2 fee schedule · outpatient	$132.39	$132.39	$132.39 – $132.39
13	Aetna commerical fee schedule · outpatient	$143.19	$143.19	$143.19 – $143.19
14	Aetna raymour furniture company fee schedule · outpatient	$143.19	$143.19	$143.19 – $143.19
15	Excellus bcbs fee schedule · outpatient	$162.87	$162.87	$162.87 – $162.87
16	Excellus hospital blue fee schedule · outpatient	$162.87	$162.87	$162.87 – $162.87
17	Excellus bcbs case rate · outpatient	$230.00	$230.00	$230.00 – $230.00
18	Excellus hospital blue case rate · outpatient	$230.00	$230.00	$230.00 – $230.00
19	UnitedHealthcare commerical per diem · outpatient	$235.00	$235.00	$235.00 – $235.00
20	Molina essential fee schedule · outpatient	$248.23	$248.23	$248.23 – $248.23

Last updated: May 19, 2026

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