Washington, DC · hospital rates, itemized

Physical therapy evaluation at Children's National Hospital pediatric hospital

111 Michigan Avenue Nw, Washington, DC 20010. From the hospital's federally required price file (v3.0.0), file date April 2, 2026 — source file. Last verified by PriceCheck: July 16, 2026. CPT 97161.

$147
Cash price
$141
Median commercial
$294
Gross charge (list)

Median commercial rate here: $141 — 37% below the Washington, DC metro median of $224. Compare all Washington, DC hospitals →

Commercial insurance plans

Payer / planFacility rateRate type
Blue Cross Blue Shield Of Virginia (Anthem)HMO (+2 same-rate plans) $110 negotiated rate
CignaEPO $123 negotiated rate
United HealthcareAll Payer $127 negotiated rate
United HealthcareOptions PPO $137 negotiated rate
Johns Hopkins HealthcareUsfhp $138 negotiated rate
AetnaCommercial $143 negotiated rate
Johns Hopkins HealthcareEHP $154 negotiated rate
Kaiser Foundation Health PlanCommercial $157 negotiated rate
CignaOap (+1 same-rate plans) $223 negotiated rate
Blue Cross Blue Shield Of Maryland (Carefirst)Rpn $2,196 negotiated rate

Medicaid plans

Payer / planFacility rateRate type
Amerigroup MdManaged Medicaid $106 negotiated rate
Blue Cross Blue Shield Of Maryland (Carefirst)Managed Medicaid $106 negotiated rate
Kaiser Foundation Health PlanManaged Medicaid $106 negotiated rate
United HealthcareManaged Medicaid $106 negotiated rate
Aetna Better Health MdManaged Medicaid $109 negotiated rate
Medstar Family ChoiceManaged Medicaid $115 negotiated rate
What these numbers are — and aren't. These are facility rates hospitals publish under the CMS Hospital Price Transparency rule (45 CFR Part 180). They are price information, not a quote or guarantee. Physician, anesthesia, radiology, and pathology services usually bill separately. Your actual cost depends on your insurance plan, deductible, and how the visit is coded. How we read hospital price files →

Common questions

How much does physical therapy evaluation cost at Children's National Hospital without insurance?

Children's National Hospital's price file lists a discounted cash (self-pay) facility rate of $147 for Physical therapy evaluation, against a gross charge of $294. Facility rate only — physician, anesthesia, radiology, and pathology services bill separately.

What do insurance plans pay for physical therapy evaluation at Children's National Hospital?

Children's National Hospital lists 10 commercial plan rates for Physical therapy evaluation, from $110 (Blue Cross Blue Shield Of Virginia (Anthem)) to $2,196 (Blue Cross Blue Shield Of Maryland (Carefirst)), with a median of $141. The Washington, DC metro median commercial rate for this procedure is $224.

Where do these prices come from?

Directly from the machine-readable file Children's National Hospital publishes under the CMS Hospital Price Transparency rule (45 CFR Part 180), file date April 2, 2026. These are price disclosures, not quotes.

Same procedure at nearby hospitals: The George Washington University Hospital · Holy Cross Hospital-Silver Spring · MedStar Washington Hospital Center · MedStar Georgetown Hospital · Virginia Hospital Center Arlington Health System · Inova Fairfax Hospital