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
Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family.
Houston, TX
See all hospitals reporting CPT 97161 →Price type
Mhhs Imaging Center’s median price of $140 is 7% below the median hospital's median price ($150), higher than 45% 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, 18 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 | UnitedHealthcare uhc nexus facility · case rate · outpatient | $61.00 | $61.00 | $61.00 – $61.00 |
| 2 | UnitedHealthcare uhc hmo facility · case rate · outpatient | $67.00 | $67.00 | $67.00 – $67.00 |
| 3 | Aetna aetna multi-tier pos/epo facility · case rate · outpatient | $71.00 | $71.00 | $71.00 – $71.00 |
| 4 | Aetna aetna multi-tier hmo facility · case rate · outpatient | $72.78 | $72.78 | $72.78 – $72.78 |
| 5 | Aetna aetna pos facility · case rate · outpatient | $76.00 | $76.00 | $76.00 – $76.00 |
| 6 | Aetna aetna hmo facility · case rate · outpatient | $79.40 | $79.40 | $79.40 – $79.40 |
| 7 | UnitedHealthcare uhc ppo facility · case rate · outpatient | $110.00 | $110.00 | $110.00 – $110.00 |
| 8 | Humana humana hmox facility · case rate · outpatient | $140.00 | $140.00 | $140.00 – $140.00 |
| 9 | Bcbs Tx bcbs blue advantage hmo (bav) facility · case rate · outpatient | $182.49 | $182.49 | $182.49 – $182.49 |
| 10 | Bcbs Tx bcbs my blue health (mbh) facility · case rate · outpatient | $182.49 | $182.49 | $182.49 – $182.49 |
| 11 | Cigna cigna surefit facility · case rate · outpatient | $198.00 | $198.00 | $198.00 – $198.00 |
| 12 | Healthcare Highways healthcare highways facility · case rate · outpatient | $205.00 | $205.00 | $205.00 – $205.00 |
| 13 | Cigna cigna facility · case rate · outpatient | $228.00 | $228.00 | $228.00 – $228.00 |
| 14 | Bcbs Tx bcbs hmo blue essentials facility · case rate · outpatient | $242.17 | $242.17 | $242.17 – $242.17 |
| 15 | Bcbs Tx bcbs high performance network (hpn) facility · case rate · outpatient | $249.96 | $249.96 | $249.96 – $249.96 |
| 16 | Bcbs Tx bcbs hmo blue premier facility · case rate · outpatient | $249.96 | $249.96 | $249.96 – $249.96 |
| 17 | Bcbs Tx bcbs ppo/pos facility · case rate · outpatient | $285.42 | $285.42 | $285.42 – $285.42 |
| 18 | Humana humana ppo facility · case rate · outpatient | $435.00 | $435.00 | $435.00 – $435.00 |
Last updated: Nov 6, 2024
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.