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
HB Physical Therapy Evaluation Low Complex 20 Mins
Rochester, NY
See all hospitals reporting CPT 97161 →Price type
Highland Hospital’s median price of $133 is 12% below the median hospital's median price ($150), higher than 42% 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 | Excellus excellus child health plus [220108] fee schedule · outpatient | $27.67 | $27.67 | $27.67 – $27.67 |
| 2 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $27.67 | $27.67 | $27.67 – $27.67 |
| 3 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $27.67 | $27.67 | $27.67 – $27.67 |
| 4 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $50.80 | $50.80 | $50.80 – $50.80 |
| 5 | Excellus excellus blue choice [220107], excellus healthy ny [220110], excellus high performance [220103], excellus simply blue [220106] fee schedule · outpatient | $63.53 | $63.53 | $63.53 – $63.53 |
| 6 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $63.53 | $63.53 | $63.53 – $63.53 |
| 7 | Humana humana medicare [131201] fee schedule · outpatient | $65.06 | $65.06 | $65.06 – $65.06 |
| 8 | Aetna aetna medicare [130001] fee schedule · outpatient | $66.07 | $66.07 | $66.07 – $66.07 |
| 9 | Molina molina essential (no medicaid) [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $70.76 | $70.76 | $70.76 – $70.76 |
| 10 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $132.34 | $132.34 | $27.67 – $237.00 |
| 11 | Aetna aetna [270002] fee schedule · outpatient | $142.91 | $142.91 | $142.91 – $142.91 |
| 12 | UnitedHealthcare united healthcare [515803] percent of total billed charges · outpatientfrom % of charges | $201.00 | $201.00 | $201.00 – $201.00 |
| 13 | Excellus blue choice option medicaid [170601] fee schedule · outpatient | $237.00 | $237.00 | $237.00 – $237.00 |
| 14 | Molina molina child health plus [518901], molina healthcare [172301] fee schedule · outpatient | $237.00 | $237.00 | $237.00 – $237.00 |
| 15 | UnitedHealthcare united healthcare essential (no medicaid [515812] fee schedule · outpatient | $237.00 | $237.00 | $237.00 – $237.00 |
| 16 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $267.33 | $267.33 | $267.33 – $267.33 |
Last updated: Jul 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.