Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in Boston, MA — inpatient

In Boston-Cambridge-Newton, MA-NH, 7 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $142.73 to $378.70, with a median of $195.00. The lowest listed price is at Boston Medical Center Brighton — $52.27 less than the median here. Across Massachusetts, the median is $339.10 at 16 hospitals.

Cash prices at 7 facilities across 5 cities for code 97161, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$142.73Boston Medical Center Brighton
Median$195.00half pay less
Highest$378.70in this market
Difference2.7×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.

median
Lowest $142.73Highest $385.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Boston Medical Center Brighton lowest Boston, MA · (617) 789-3000 HC Physical Therapy Evaluation Low Complex 20 Mins $142.73 $317.17 $108.88–$475.07 55% —
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Boston Medical Center South Brockton, MA · (508) 427-3000 HC Physical Therapy Evaluation Low Complex 20 Mins $163.21 $362.69 $108.88–$394.86 55% —
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Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 Hosp Physical Therapy Evaluation Low Complex $192.50 $275.00 $96.25–$530.75 30% —
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Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 HC Telemed Pt Eval Low Complexity $192.50 $275.00 $96.25–$530.75 30% —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 Physical Therapy Evaluation Low Complex 20 Mins $195.00 $195.00 $107.25–$294.35 — —
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Boston Medical Center Boston, MA · (617) 638-8000 HC Physical Therapy Evaluation Low Complex 20 Mins $246.60 $548.00 $108.88–$512.54 55% —
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Lowell General Hospital Lowell, MA · (978) 937-6000 Hosp Physical Therapy Evaluation Low Complex $367.50 $525.00 $133.78–$525.00 30% —
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Tufts Medical Center Boston, MA · (617) 636-5000 Hosp Physical Therapy Evaluation Low Complex $378.70 $541.00 $142.07–$541.00 30% —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Ot Eval, Low Complexity $385.00 $385.00 $182.73–$385.00 — —
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Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Pt Physical Therapy Eval Low Complex $385.00 $385.00 $182.73–$385.00 — —
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Inpatient: lowest $142.73, median $195.00, highest $378.70 — a 2.7× difference within the same market.

As an outpatient, the same code is billed by 7 facilities here, median $195.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 7 of 7 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is a first physical therapy evaluation of low complexity, typically about 20 minutes face to face. It is used for a stable problem with few other health factors, and ends with a plan of care.

What the price covers

The price covers the evaluation, billed once per evaluation rather than in time units. Treatment on the same day, such as therapeutic exercise or manual therapy, is billed separately in 15-minute units.