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 COMPLEX
New Castle, PA
See all hospitals reporting CPT 97161 →Price type
UPMC Jameson’s median price of $150 is about the same as the median hospital's median price ($150), higher than 50% 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, 10 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 | Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $52.47 | $52.47 | $52.47 – $52.47 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $69.52 | $69.52 | $69.52 – $69.52 |
| 3 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $73.15 | $73.15 | $73.15 – $73.15 |
| 4 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $140.50 | $140.50 | $140.50 – $140.50 |
| 5 | Cigna commercial facility · per diem · outpatient | $145.55 | $145.55 | $145.55 – $145.55 |
| 6 | UnitedHealthcare commercial facility · per diem · outpatient | $172.00 | $172.00 | $172.00 – $172.00 |
| 7 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · inpatientfrom % of charges | $210.75 | $210.75 | $210.75 – $210.75 |
| 8 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $224.80 | $224.80 | $224.80 – $224.80 |
| 9 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $224.80 | $224.80 | $224.80 – $224.80 |
| 10 | MultiPlan ppo (inc. auto and worker's compensation) facility · percent of total billed charges · outpatientfrom % of charges | $224.80 | $224.80 | $224.80 – $224.80 |
Last updated: Mar 6, 2026
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