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 20 MIN - PT Eval/Re-Eval Charges
Mobile, AL
See all hospitals reporting CPT 97161 →Price type
USA Health University Hospital’s median price of $109 is 27% below the median hospital's median price ($150), higher than 31% 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: 11 payers, 23 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 | Bcbs Al commercial facility · other · outpatient | $56.23 | $56.23 | $56.23 – $56.23 |
| 2 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $82.20 | $82.20 | $82.20 – $82.20 |
| 3 | Molina managed medicaid facility · fee schedule · outpatient | $90.42 | $90.42 | $90.42 – $90.42 |
| 4 | Bcbs Al medicare advantage facility · case rate · outpatient | $95.91 | $95.91 | $95.91 – $95.91 |
| 5 | Aetna medicare advantage facility · case rate · outpatient | $97.86 | $97.86 | $97.86 – $97.86 |
| 6 | Cigna Healthspring medicare advantage facility · case rate · outpatient | $97.86 | $97.86 | $97.86 – $97.86 |
| 7 | Devoted medicare advantage facility · case rate · outpatient | $97.86 | $97.86 | $97.86 – $97.86 |
| 8 | Humana medicare advantage/hmo facility · case rate · outpatient | $97.86 | $97.86 | $97.86 – $97.86 |
| 9 | Humana medicare advantage/ppo facility · case rate · outpatient | $97.86 | $97.86 | $97.86 – $97.86 |
| 10 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $97.86 | $97.86 | $97.86 – $97.86 |
| 11 | UnitedHealthcare vaccn facility · case rate · outpatient | $97.86 | $97.86 | $97.86 – $97.86 |
| 12 | WellCare medicare advantage facility · case rate · outpatient | $97.86 | $97.86 | $97.86 – $97.86 |
| 13 | Molina medicare advantage facility · case rate · outpatient | $107.65 | $107.65 | $107.65 – $107.65 |
| 14 | Ambetter commercial/exchange facility · case rate · outpatient | $117.44 | $117.44 | $117.44 – $117.44 |
| 15 | Cigna commercial facility · case rate · outpatient | $150.00 | $150.00 | $150.00 – $150.00 |
| 16 | UnitedHealthcare all payor/commercial facility · percent of total billed charges · outpatientfrom % of charges | $158.76 | $158.76 | $117.72 – $199.80 |
| 17 | UnitedHealthcare ppo/commercial facility · percent of total billed charges · outpatientfrom % of charges | $158.76 | $158.76 | $117.72 – $199.80 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $161.70 | $161.70 | $119.90 – $203.50 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $176.12 | $176.12 | $176.12 – $176.12 |
| 20 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $191.10 | $191.10 | $141.70 – $240.50 |
| 21 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $191.10 | $191.10 | $141.70 – $240.50 |
| 22 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $205.80 | $205.80 | $152.60 – $259.00 |
| 23 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $264.60 | $264.60 | $196.20 – $333.00 |
Last updated: Apr 30, 2026
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