Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in Buffalo, NY — inpatient

In Buffalo-Cheektowaga, NY, 4 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $180.00 to $222.86, with a median of $180.00. The lowest listed price is at Sisters of Charity Hospital and 2 other hospitals. Across New York, the median is $181.16 at 56 hospitals.

Cash prices at 4 facilities across 2 cities for code 97161, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$180.00Sisters of Charity Hospital + 2 more
Median$180.00half pay less
Highest$222.86in this market
Difference1.2×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 Buffalo-Cheektowaga, NY.

median
Lowest $180.00Highest $222.86

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sisters of Charity Hospital lowest Buffalo, NY · (716) 862-1000 HC Pt Physical Therapy Evaluation Low Complex 20 Mins $180.00 $180.00 $34.34–$232.20 — —
source file
Mount St. Mary's Hospital lowest Lewiston, NY · (716) 297-4800 HC Pt Physical Therapy Evaluation Low Complex 20 Mins $180.00 $180.00 $34.34–$232.20 — —
source file
Mercy Hospital of Buffalo lowest Buffalo, NY · (716) 826-7000 HC Pt Physical Therapy Evaluation Low Complex 20 Mins $180.00 $180.00 $34.34–$232.20 — —
source file
Sisters of Charity Hospital Buffalo, NY · (716) 862-1000 Physical Therapy Evaluation Low Complex 20 Mins $181.00 $181.00 $34.34–$232.20 — —
source file
Mercy Hospital of Buffalo Buffalo, NY · (716) 826-7000 Physical Therapy Evaluation Low Complex 20 Mins $181.00 $181.00 $34.34–$232.20 — —
source file
Mount St. Mary's Hospital Lewiston, NY · (716) 297-4800 Physical Therapy Evaluation Low Complex 20 Mins $181.00 $181.00 $34.34–$232.20 — —
source file
Roswell Park Cancer Institute Buffalo, NY Pt Eval Low Complexity 20 Min $222.86 $222.86 — — Apr 1, 2026
source file

Inpatient: lowest $180.00, median $180.00, highest $222.86 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $180.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 3 of 3 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.