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
Elizabethtown, NY
See all hospitals reporting CPT 97161 →Price type
Elizabethtown Community Hospital’s median price of $116 is 23% below the median hospital's median price ($150), higher than 34% 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, 16 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 facility · percent of total billed charges · outpatientfrom % of charges | $87.02 | $87.02 | $87.02 – $87.02 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $87.02 | $87.02 | $87.02 – $87.02 |
| 3 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $87.02 | $87.02 | $87.02 – $87.02 |
| 4 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $87.02 | $87.02 | $87.02 – $87.02 |
| 5 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $91.60 | $91.60 | $91.60 – $91.60 |
| 6 | UnitedHealthcare managed medicaid/essential plans facility · fee schedule · outpatient | $97.02 | $97.02 | $97.02 – $97.02 |
| 7 | Blue Cross Blue Shield managed medicaid aliessa facility · fee schedule · outpatient | $101.87 | $101.87 | $101.87 – $101.87 |
| 8 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $135.11 | $135.11 | $135.11 – $135.11 |
| 9 | Blue Cross Blue Shield individual network facility · percent of total billed charges · outpatientfrom % of charges | $139.23 | $139.23 | $139.23 – $139.23 |
| 10 | Blue Cross Blue Shield hmo/pos/epo/ppo/ind facility · percent of total billed charges · outpatientfrom % of charges | $141.98 | $141.98 | $141.98 – $141.98 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $171.75 | $171.75 | $171.75 – $171.75 |
| 12 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $172.12 | $172.12 | $172.12 – $172.12 |
| 13 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $186.63 | $186.63 | $186.63 – $186.63 |
| 14 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $206.10 | $206.10 | $206.10 – $206.10 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $210.91 | $210.91 | $210.91 – $210.91 |
| 16 | Blue Cross Blue Shield essential plans/non-aliessa managed medicaid facility · fee schedule · outpatient | $218.29 | $218.29 | $218.29 – $218.29 |
Last updated: Apr 28, 2026
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