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
Darby, PA
See all hospitals reporting CPT 97161 →Price type
Mercy Fitzgerald Hospital’s median price of $449 is 200% above the median hospital's median price ($150), higher than 98% 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, 26 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 independence blue cross medicare adv facility · fee schedule · both | $101.25 | $101.25 | $101.25 – $101.25 |
| 2 | Cigna cigna healthspring medicare advantage facility · fee schedule · both | $102.20 | $102.20 | $102.20 – $102.20 |
| 3 | Devoted devoted health medicare advantage facility · fee schedule · both | $103.78 | $103.78 | $103.78 – $103.78 |
| 4 | UnitedHealthcare uhc community plan medicaid facility · fee schedule · both | $104.46 | $104.46 | $104.46 – $104.46 |
| 5 | Aetna aetna medicare advantage facility · fee schedule · both | $107.16 | $107.16 | $107.16 – $107.16 |
| 6 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $115.85 | $115.85 | $115.85 – $115.85 |
| 7 | Highmark highmark wholecare medicare advantage facility · fee schedule · both | $116.44 | $116.44 | $116.44 – $116.44 |
| 8 | Cigna cigna exchange facility · per diem · both | $157.50 | $157.50 | $157.50 – $157.50 |
| 9 | Ambetter ambetter marketplace facility · fee schedule · both | $180.73 | $180.73 | $180.73 – $180.73 |
| 10 | Oscar oscar medicare advantage facility · fee schedule · both | $182.25 | $182.25 | $182.25 – $182.25 |
| 11 | Cigna cigna facility · per diem · both | $184.00 | $184.00 | $184.00 – $184.00 |
| 12 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $208.53 | $208.53 | $208.53 – $208.53 |
| 13 | UnitedHealthcare united healthcare options facility · percent of total billed charges · bothfrom % of charges | $216.14 | $216.14 | $216.14 – $216.14 |
| 14 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $250.24 | $250.24 | $250.24 – $250.24 |
| 15 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $271.42 | $271.42 | $271.42 – $271.42 |
| 16 | Highmark highmark health plan facility · fee schedule · both | $273.78 | $273.78 | $273.78 – $273.78 |
| 17 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $331.00 | $331.00 | $331.00 – $331.00 |
| 18 | Anthem independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 19 | Blue Cross Blue Shield independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 20 | Carefirst independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 21 | Excellus independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 22 | Highmark independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 23 | Premera independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 24 | Regence independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
| 25 | Wellmark independence blue cross hmo/ppo facility · fee schedule · both | $449.45 | $449.45 | $449.45 – $449.45 |
Last updated: Mar 31, 2026
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