US Health Care Costs

Physical therapy re-evaluation

CPT 97164 · Therapy and mental health · hospital facility charge

At the 125 hospitals whose price files we have read so far, the typical cash price is $169, and most charge between $83 and $488 (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

$169typical cash price
$131typical commercial insurer rate
$302typical list price
125hospitals in 32 states so far
Typical cash price by state
AKMEWIVTNHWA$91ID$169MTNDMN$39IL$179MI$92NY$127MA$321OR$165NV$828WYSDIA$259IN$72OH$153PA$121NJ$86CT$283RICA$163UT$186CONE$143MO$139KY$145WVVA$124MD$193DE$186AZ$318NMKSARTN$54NC$130SC$104DCOK$153LAMSAL$182GA$119HITX$309FL$195PR

Every state

StateHospitalsTypical cash priceLowest cashHighest cashTypical insurer price
Alabama1$182$182$182$122
Arizona2$318$88$549$111
California10$163$30$2,637$110
Connecticut1$283$283$283$210
Delaware1$186$186$186$280
Florida8$195$90$1,203$107
Georgia6$119$63$625$126
Iowa1$259$259$259$95
Idaho2$169$169$169$139
Illinois6$179$99$331$167
Indiana2$72$55$90$168
Kentucky2$145$100$189$159
Massachusetts3$321$191$321$153
Maryland1$193$193$193–
Michigan3$92$92$189$98
Minnesota1$39$39$39$196
Missouri4$139$62$194$155
North Carolina4$130$130$147$153
Nebraska1$143$143$143$208
New Jersey8$86$83$296$148
Nevada1$828$828$828$64
New York1$127$127$127$131
Ohio7$153$81$249$139
Oklahoma3$153$66$271$186
Oregon1$165$165$165$137
Pennsylvania8$121$80$348$98
South Carolina4$104$99$477$71
Tennessee2$54$54$54$160
Texas21$309$34$1,321$99
Utah2$186$165$206$192
Virginia6$124$124$445$71
Washington2$91$80$102$135
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 re-evaluation cost at a hospital?

At 120 hospitals that publish a cash price, the typical price for physical therapy re-evaluation is $169, and most charge between $83 and $488. The typical rate commercial insurers have negotiated is $131. 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 re-evaluation?

At 37 of the 103 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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