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
PT EVAL - LOW
Vero Beach, FL
See all hospitals reporting CPT 97161 →Price type
Indian River Memorial Hospital Inc’s median price of $168 is 12% above the median hospital's median price ($150), higher than 57% 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: 12 payers, 31 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 | Blue Cross Blue Shield medicare advantage hmo facility · fee schedule · outpatient | $126.19 | $126.19 | $126.19 – $126.19 |
| 2 | Blue Cross Blue Shield medicare advantage ppo facility · fee schedule · outpatient | $126.19 | $126.19 | $126.19 – $126.19 |
| 3 | Humana medicare advantage hmo facility · fee schedule · outpatient | $126.19 | $126.19 | $126.19 – $126.19 |
| 4 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $126.19 | $126.19 | $126.19 – $126.19 |
| 5 | Aetna medicare advantage facility · fee schedule · outpatient | $126.43 | $126.43 | $126.43 – $126.43 |
| 6 | WellCare medicare advantage facility · fee schedule · outpatient | $126.43 | $126.43 | $126.43 – $126.43 |
| 7 | Devoted medicare advantage hmo facility · fee schedule · outpatient | $139.07 | $139.07 | $139.07 – $139.07 |
| 8 | Aetna qhp facility · other · outpatient | $146.00 | $146.00 | $146.00 – $146.00 |
| 9 | Optum managed medicaid facility · case rate · outpatient | $148.98 | $148.98 | $148.98 – $148.98 |
| 10 | Medicaid managed medicaid facility · case rate · outpatient | $156.82 | $156.82 | $156.82 – $156.82 |
| 11 | Molina florida kidcare facility · case rate · outpatient | $156.82 | $156.82 | $156.82 – $156.82 |
| 12 | Molina florida kidcare professional · case rate · outpatient | $156.82 | $156.82 | $156.82 – $156.82 |
| 13 | WellCare managed medicaid facility · case rate · outpatient | $156.82 | $156.82 | $156.82 – $156.82 |
| 14 | Molina managed medicaid facility · case rate · outpatient | $164.66 | $164.66 | $164.66 – $164.66 |
| 15 | UnitedHealthcare nhp facility · other · outpatient | $168.00 | $168.00 | $168.00 – $168.00 |
| 16 | Aetna managed medicaid/chip facility · case rate · outpatient | $172.50 | $172.50 | $172.50 – $172.50 |
| 17 | Cigna individual family plan facility · other · outpatient | $195.32 | $195.32 | $195.32 – $195.32 |
| 18 | UnitedHealthcare all products facility · other · outpatient | $213.00 | $213.00 | $213.00 – $213.00 |
| 19 | UnitedHealthcare international facility · other · outpatient | $213.00 | $213.00 | $213.00 – $213.00 |
| 20 | Aetna all products facility · other · outpatient | $235.00 | $235.00 | $235.00 – $235.00 |
| 21 | Cigna surefit facility · other · outpatient | $236.38 | $236.38 | $236.38 – $236.38 |
| 22 | Cigna all products facility · other · outpatient | $250.16 | $250.16 | $250.16 – $250.16 |
| 23 | Blue Cross Blue Shield bsl facility · case rate · outpatient | $394.00 | $394.00 | $394.00 – $394.00 |
| 24 | Blue Cross Blue Shield hmo facility · case rate · outpatient | $394.00 | $394.00 | $394.00 – $394.00 |
| 25 | Magellan all products facility · percent of total billed charges · outpatientfrom % of charges | $453.60 | $453.60 | $453.60 – $453.60 |
Last updated: Jun 15, 2026
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