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 Evaluation Low Complexity Patient/Family
Stafford Springs, CT
See all hospitals reporting CPT 97161 →Price type
Johnson Memorial Hospital’s median price of $324 is 116% above the median hospital's median price ($150), higher than 91% 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: 16 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 | Aetna aetna medicare advantage facility · fee schedule · both | $100.96 | $100.96 | $100.96 – $100.96 |
| 2 | Anthem anthem mediblue medicare advantage facility · fee schedule · both | $100.96 | $100.96 | $100.96 – $100.96 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $100.96 | $100.96 | $100.96 – $100.96 |
| 4 | WellCare wellcare medicare advantage facility · fee schedule · both | $100.96 | $100.96 | $100.96 – $100.96 |
| 5 | Cigna cigna medicare advantage facility · fee schedule · both | $103.99 | $103.99 | $103.99 – $103.99 |
| 6 | Aetna aetna whole health facility · percent of total billed charges · bothfrom % of charges | $213.41 | $213.41 | $213.41 – $213.41 |
| 7 | Anthem anthem individual pathway hmo ppo facility · fee schedule · both | $251.22 | $251.22 | $251.22 – $251.22 |
| 8 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $266.76 | $266.76 | $266.76 – $266.76 |
| 9 | Cigna evernorth facility · percent of total billed charges · bothfrom % of charges | $266.76 | $266.76 | $266.76 – $266.76 |
| 10 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $283.86 | $283.86 | $283.86 – $283.86 |
| 11 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $283.86 | $283.86 | $283.86 – $283.86 |
| 12 | Anthem anthem bluecare prime facility · fee schedule · both | $291.74 | $291.74 | $291.74 – $291.74 |
| 13 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $312.11 | $312.11 | $312.11 – $312.11 |
| 14 | Anthem anthem facility · fee schedule · both | $324.15 | $324.15 | $324.15 – $324.15 |
| 15 | Blue Cross Blue Shield anthem facility · fee schedule · both | $324.15 | $324.15 | $324.15 – $324.15 |
| 16 | Carefirst anthem facility · fee schedule · both | $324.15 | $324.15 | $324.15 – $324.15 |
| 17 | Excellus anthem facility · fee schedule · both | $324.15 | $324.15 | $324.15 – $324.15 |
| 18 | Highmark anthem facility · fee schedule · both | $324.15 | $324.15 | $324.15 – $324.15 |
| 19 | Kaiser anthem facility · fee schedule · both | $324.15 | $324.15 | $324.15 – $324.15 |
| 20 | Premera anthem facility · fee schedule · both | $324.15 | $324.15 | $324.15 – $324.15 |
| 21 | Regence anthem facility · fee schedule · both | $324.15 | $324.15 | $324.15 – $324.15 |
| 22 | Wellmark anthem facility · fee schedule · both | $324.15 | $324.15 | $324.15 – $324.15 |
| 23 | Optum united healthcare behavioral health facility · percent of total billed charges · bothfrom % of charges | $342.00 | $342.00 | $342.00 – $342.00 |
| 24 | UnitedHealthcare united healthcare facility · per diem · both | $369.00 | $369.00 | $369.00 – $369.00 |
Last updated: Mar 31, 2026
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