Aurora Psychiatric Hospital Prices – PT EVAL LOW COMPLEXITY is $340
Overview of PT EVAL LOW COMPLEXITY (CPT 97161) at Aurora Psychiatric Hospital
The PT EVAL LOW COMPLEXITY (Physical Therapy Evaluation, Low Complexity) at Aurora Psychiatric Hospital is priced at $340. This evaluation, coded as CPT 97161 with revenue code 424 and charge code 10005856, typically involves a physical therapist assessing a patient’s condition with straightforward clinical presentation and minimal complexity. The fee generally covers the therapist’s time for assessment, documentation, and initial recommendations for care. Key cost components may include the evaluation session, preliminary care planning, and administrative charges. To ensure transparency and avoid unexpected bills, patients are advised to request a detailed, itemized cost estimate before their visit, and to clarify with their insurer about coverage specifics.
Cost Breakdown
- Base Fee for PT EVAL LOW COMPLEXITY: $340
- Includes: Physical therapist assessment, initial documentation, and care recommendations
- May Not Include: Additional therapy sessions, follow-up visits, specialized tests, or equipment
Associated Costs to Consider
- Follow-up physical therapy sessions (each billed separately)
- Other specialist consultations or mental health services
- Diagnostic imaging or laboratory tests if needed
- Medications or therapeutic equipment, if prescribed
Insurance & Payment Advice
- Contact your insurance provider to confirm if CPT 97161 is covered and what your out-of-pocket costs will be.
- Ask Aurora Psychiatric Hospital for an itemized estimate and details on payment plans or financial assistance if needed.
- Verify if referrals or pre-authorizations are required for coverage of this evaluation.
Side-Effect Considerations
- PT evaluations are generally non-invasive and do not cause side effects.
- If a physical exam is required, mild discomfort may occur during certain movements.
- Report any pain or concerns to your therapist during the evaluation.
Recovery Tips
- Follow any home exercise or care instructions provided after the evaluation.
- Schedule follow-up appointments as recommended to track progress.
- Communicate openly with your therapist about any changes in symptoms.
Frequently Asked Questions
-
What does PT EVAL LOW COMPLEXITY (CPT 97161) involve?
This evaluation includes a physical therapist’s assessment of a patient with a straightforward, non-complex clinical situation, and development of an initial care plan. -
Is the $340 fee all-inclusive?
The $340 covers the evaluation session itself; additional therapy sessions, tests, or equipment may incur extra charges. -
Will insurance cover this evaluation?
Coverage depends on your insurance plan. Contact your insurer and provide the CPT code 97161 to verify coverage and expected out-of-pocket costs. -
Do I need a referral for this evaluation?
Some insurance plans require a physician referral for physical therapy services; check with your provider and insurer. -
What should I bring to my appointment?
Bring your insurance card, referral (if needed), a list of current medications, and any relevant medical records. -
Are there payment plans available?
Many hospitals offer payment plans or financial assistance programs; inquire with the billing department before your visit. -
How long does the evaluation take?
Most low complexity physical therapy evaluations last 30–45 minutes, depending on individual needs. -
What happens after the evaluation?
You’ll receive recommendations for therapy or follow-up care, and may schedule additional sessions as needed. -
Can I request an itemized bill?
Yes, you can and should request an itemized bill to clearly understand all charges associated with your care. -
Are there risks or side effects with this evaluation?
This evaluation is generally safe and non-invasive, with minimal risk involved. -
How can I minimize my out-of-pocket costs?
Verify your insurance benefits, ask about in-network providers, and request an itemized estimate ahead of time.
Aurora Psychiatric Hospital – price for Charge Code 10005856 PT EVAL LOW COMPLEXITY rev 424 cpt 97161 is $340
- Location: 1220 Dewey Avenue, Wauwatosa, WI 53213
- Phone: (414) 454-6600
- Website: https://www.aurorahealthcare.org
- Services Offered: Comprehensive mental health services, substance use disorder treatment, partial hospitalization, intensive outpatient programming.
- Hours: Open 24 hours
At Aurora Psychiatric Hospital, we’re committed to transparency and clarity in our healthcare services and costs. For Charge Code 10005856, which pertains to PT EVAL LOW COMPLEXITY with a revenue code of 424 and a corresponding CPT code of 97161, the fee is $340.
This initiative, part of CompareMedCosts program, is designed to ensure that you have all the necessary information upfront, much like having a clear map before embarking on a journey. This way, you can navigate your healthcare decisions with confidence, understanding the financial aspects of your care with the same clarity you seek in your health outcomes.
CompareMedCosts has created a one-of-a-kind healthcare advisor and cost estimator powered by AI. We need patients at every healthcare provider across the US to contribute their experiences, invoices and other information to allow the CompareMedCosts AI to begin to guide people in their healthcare decisions while understanding the costs. CompareMedCosts AI will be able to tell people where to find the least expensive mammography or colonoscopy services in their area and far more.