Physical therapy evaluation, low complexity at FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL

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

Pace Pt Eval Low Complex; 20 Min

CARMEL, IN

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How this price compares nationally

FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL’s median price of $218 is 45% above the median hospital's median price ($150), higher than 72% 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 FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL

Negotiated rates from the hospital’s own file: 8 payers, 14 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	Medicare medicare fee schedule · both	$94.80	$94.80	$94.80 – $94.80
2	Medicaid in mcd-cir-carmel per diem · both	$186.46	$186.46	$186.46 – $186.46
3	Bcbs Il anthem blue access ppo with copps - indianapolis & carmel fee schedule · both	$187.37	$187.37	$187.37 – $187.37
4	Bcbs In anthem blue access ppo with copps - indianapolis & carmel fee schedule · both	$187.37	$187.37	$187.37 – $187.37
5	Blue Cross Blue Shield anthem blue access ppo with copps - indianapolis & carmel fee schedule · both	$187.37	$187.37	$187.37 – $187.37
6	Blue Cross Blue Shield anthem blue traditional with copps - indianapolis & carmel fee schedule · both	$187.37	$187.37	$187.37 – $187.37
7	Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both	$187.37	$187.37	$187.37 – $187.37
8	Blue Cross Blue Shield anthem healthsync hmo with copps - indianapolis & carmel fee schedule · both	$187.37	$187.37	$187.37 – $187.37
9	Blue Cross Blue Shield anthem healthsync pos with copps - indianapolis & carmel fee schedule · both	$187.37	$187.37	$187.37 – $187.37
10	UnitedHealthcare united healthcare charter-cid percent of total billed charges · bothfrom % of charges	$213.84	$213.84	$213.25 – $214.43
11	UnitedHealthcare united healthcare-cid percent of total billed charges · bothfrom % of charges	$218.16	$218.16	$217.55 – $218.77
12	Medicaid in mcd-indianapol caresource 120% in mcd per diem · both	$223.75	$223.75	$223.75 – $223.75
13	Cigna cigna-cid percent of total billed charges · bothfrom % of charges	$229.32	$229.32	$228.68 – $229.96
14	Aetna aetna-cid percent of total billed charges · bothfrom % of charges	$248.04	$248.04	$247.35 – $248.73

Last updated: Jan 1, 2026

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