Physical therapy evaluation, low complexity at Good Samaritan 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

C PT EVAL LOW COMPLEXITY

Puyallup, WA

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How this price compares nationally

Good Samaritan Hospital’s median price of $119 is 21% below the median hospital's median price ($150), higher than 35% 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 Good Samaritan Hospital

Negotiated rates from the hospital’s own file: 11 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	Molina apple health fee schedule · outpatient	$58.37	$58.37	$58.37 – $58.37
2	UnitedHealthcare apple health fee schedule · outpatient	$63.04	$63.04	$63.04 – $63.04
3	UnitedHealthcare all commercial plans fee schedule · outpatient	$89.84	$89.84	$89.84 – $89.84
4	Aetna medadvantage fee schedule · outpatient	$102.20	$102.20	$102.20 – $102.20
5	Regence medadvantage fee schedule · outpatient	$102.20	$102.20	$102.20 – $102.20
6	UnitedHealthcare medadvantage fee schedule · outpatient	$103.19	$103.19	$103.19 – $103.19
7	Molina medadvantage fee schedule · outpatient	$104.19	$104.19	$104.19 – $104.19
8	WellCare medadvantage fee schedule · outpatient	$104.19	$104.19	$104.19 – $104.19
9	Regence blue high performance fee schedule · outpatient	$109.59	$109.59	$109.59 – $109.59
10	Regence mcc/ahn fee schedule · outpatient	$109.59	$109.59	$109.59 – $109.59
11	Regence realvalue fee schedule · outpatient	$112.73	$112.73	$112.73 – $112.73
12	Regence commercial fee schedule · outpatient	$125.25	$125.25	$125.25 – $125.25
13	Cigna all commercial plans fee schedule · outpatient	$154.39	$154.39	$154.39 – $154.39
14	Aetna all commercial plans percent of total billed charges · outpatientfrom % of charges	$162.55	$162.55	$162.55 – $162.55
15	Premera hmo fee schedule · outpatient	$164.50	$164.50	$164.50 – $164.50
16	Premera prime fee schedule · outpatient	$180.95	$180.95	$180.95 – $180.95
17	Premera signature fee schedule · outpatient	$180.95	$180.95	$180.95 – $180.95
18	Ambetter coordinated care exchange fee schedule · outpatient	$198.45	$198.45	$198.45 – $198.45
19	Premera other commercial plans fee schedule · outpatient	$221.17	$221.17	$221.17 – $221.17
20	First Health all commercial plans percent of total billed charges · inpatientfrom % of charges	$235.06	$235.06	$235.06 – $235.06
21	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$235.06	$235.06	$235.06 – $235.06
22	MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges	$235.06	$235.06	$235.06 – $235.06
23	MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges	$235.06	$235.06	$235.06 – $235.06
24	Kaiser ppo fee schedule · outpatient	$470.73	$470.73	$470.73 – $470.73

Last updated: Aug 27, 2026

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