US Health Care Costs

Physical therapy evaluation, moderate complexity

CPT 97162 · Therapy and mental health · hospital facility charge

At the 125 hospitals whose price files we have read so far, the typical cash price is $281, and most charge between $120 and $990 (the middle 80%; price files contain errors, so the extremes are left out). Pick a state to compare its hospitals.

Estimate what you would pay

$281typical cash price
$194typical commercial insurer rate
$527typical list price
125hospitals in 32 states so far
Typical cash price by state
AKMEWIVTNHWA$226ID$369MTNDMN$75IL$300MI$133NY$269MA$469OR$346NV$1.6kWYSDIA$361IN$146OH$255PA$161NJ$126CT$413RICA$401UT$300CONE$106MO$240KY$211WVVA$264MD$451DE$276AZ$513NMKSARTN$81NC$316SC$171DCOK$267LAMSAL$417GA$157HITX$683FL$350PR

Every state

StateHospitalsTypical cash priceLowest cashHighest cashTypical insurer price
Alabama1$417$417$417$200
Arizona2$513$161$864$181
California10$401$62$2,637$160
Connecticut1$413$413$413$210
Delaware1$276$276$276$406
Florida8$350$120$1,443$147
Georgia6$157$111$1,050$172
Iowa1$361$361$361$133
Idaho2$369$369$369$295
Illinois6$300$159$630$322
Indiana2$146$118$174$308
Kentucky2$211$146$276$232
Massachusetts3$469$429$469$372
Maryland1$451$451$451–
Michigan3$133$133$297$143
Minnesota1$75$75$75$232
Missouri4$240$99$303$240
North Carolina4$316$297$316$317
Nebraska1$106$106$106$207
New Jersey8$126$120$212$154
Nevada1$1,644$1,644$1,644$92
New York1$269$269$269$198
Ohio7$255$129$393$202
Oklahoma3$267$98$302$228
Oregon1$346$346$346$199
Pennsylvania8$161$116$679$147
South Carolina4$171$148$689$100
Tennessee2$81$81$81$206
Texas21$683$79$1,096$145
Utah2$300$266$333$310
Virginia6$264$264$1,019$104
Washington2$226$225$228$196
125 hospitals so far: only hospitals whose price files we've read are listed, and more are added every night. The price is the hospital's part; the doctor usually bills separately.

Common questions

How much does physical therapy evaluation cost at a hospital?

At 120 hospitals that publish a cash price, the typical price for physical therapy evaluation is $281, and most charge between $120 and $990. The typical rate commercial insurers have negotiated is $194. These are hospital prices; independent clinics, imaging centers and labs often charge less.

Is it cheaper to pay cash or use insurance for physical therapy evaluation?

At 33 of the 105 hospitals that publish both, the cash price is lower than the typical insurer rate. Remember that with insurance you pay only your share of that rate once your deductible is met, and that cash payments usually don't count toward your deductible.

Does the price include the doctor?

No. These are the hospital's own charges, often called the facility fee. The doctors involved, such as the surgeon, the anesthesiologist or the radiologist who reads a scan, usually send a separate bill.

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