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 PHYSICAL THERAPY EVAL-LOW COMPLEXITY
Lancaster, PA
See all hospitals reporting CPT 97161 →Price type
Lancaster General Health’s median price of $166 is 11% above the median hospital's median price ($150), higher than 56% 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: 13 payers, 34 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $54.60 | $54.60 | $54.60 – $54.60 |
| 2 | Medicaid medicaid facility · fee schedule · outpatient | $63.61 | $63.61 | $63.61 – $63.61 |
| 3 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $69.97 | $69.97 | $69.97 – $69.97 |
| 4 | Tricare tricare facility · fee schedule · outpatient | $85.04 | $85.04 | $85.04 – $85.04 |
| 5 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $93.55 | $93.55 | $93.55 – $93.55 |
| 6 | Medicare medicare facility · fee schedule · outpatient | $94.49 | $94.49 | $94.49 – $94.49 |
| 7 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $94.49 | $94.49 | $94.49 – $94.49 |
| 8 | Aetna aetna medicare advantage facility · other · outpatient | $95.43 | $95.43 | $95.43 – $95.43 |
| 9 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $95.91 | $95.91 | $95.91 – $95.91 |
| 10 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $96.38 | $96.38 | $96.38 – $96.38 |
| 11 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $96.38 | $96.38 | $96.38 – $96.38 |
| 12 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $97.32 | $97.32 | $97.32 – $97.32 |
| 13 | Devoted devoted health medicare advantage facility · other · outpatient | $99.21 | $99.21 | $99.21 – $99.21 |
| 14 | Highmark highmark chip facility · other · outpatient | $120.26 | $121.07 | $120.26 – $122.68 |
| 15 | Highmark highmark aca facility · other · outpatient | $144.52 | $145.49 | $144.52 – $147.43 |
| 16 | Highmark highmark commercial preferred facility · other · outpatient | $165.92 | $167.03 | $165.92 – $169.26 |
| 17 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $167.90 | $169.03 | $167.90 – $171.28 |
| 18 | Oscar oscar health plan facility · other · outpatient | $184.26 | $184.26 | $184.26 – $184.26 |
| 19 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $187.19 | $188.45 | $187.19 – $190.96 |
| 20 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $200.46 | $201.81 | $200.46 – $204.50 |
| 21 | Highmark highmark commercial facility · other · outpatient | $206.44 | $207.83 | $206.44 – $210.60 |
| 22 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $207.50 | $208.90 | $207.50 – $211.69 |
| 23 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · inpatientfrom % of charges | $210.80 | $212.22 | $210.80 – $215.05 |
| 24 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $210.80 | $212.22 | $210.80 – $215.05 |
| 25 | UnitedHealthcare united healthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $210.80 | $212.22 | $210.80 – $215.05 |
Last updated: Mar 31, 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.