Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in Cincinnati, OH — inpatient

In Cincinnati, OH-KY-IN, 9 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $141.60 to $164.73, with a median of $141.60. The lowest listed price is at Mercy Health Kings Mills Hospital and 5 other hospitals. Across Ohio, the median is $264.00 at 83 hospitals.

Cash prices at 9 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 Jul 1, 2026 and Jul 1, 2026.

Lowest$141.60Mercy Health Kings Mills Hospital + 5 more
Median$141.60half pay less
Highest$164.73in 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 Cincinnati, OH-KY-IN.

median
Lowest $141.60Highest $164.73

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Health Kings Mills Hospital lowest Mason, OH · (513) 637-9999 HC Pt Eval Low Complex $141.60 $236.00 — 40% —
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Mercy Health Fairfield Hospital lowest Fairfield, OH · (513) 870-7000 HC Pt Eval Low Complex $141.60 $236.00 — 40% —
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Mercy Health Clermont Hospital lowest Batavia, OH · (513) 732-8278 HC Pt Eval Low Complex $141.60 $236.00 — 40% —
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Mercy Health West Hospital lowest Cincinnati, OH · (513) 215-5000 HC Pt Eval Low Complex $141.60 $236.00 — 40% —
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Mercy Health Anderson Hospital lowest Cincinnati, OH · (513) 624-4500 HC Pt Eval Low Complex $141.60 $236.00 — 40% —
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The Jewish Hospital-Mercy Health lowest Cincinnati, OH · (513) 686-3000 HC Pt Eval Low Complex $141.60 $236.00 — 40% —
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University of Cincinnati Medical Center Cincinnati, OH · (513) 584-1000 Hc Pt Eval Low Comp 20Min $151.80 $253.00 — 40% Jul 1, 2026
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West Chester Hospital West Chester, OH · (513) 298-7701 Hc Pt Eval Low Comp 20Min $151.80 $253.00 — 40% Jul 1, 2026
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Aac> Pt Eval, Low Complexity $164.73 $323.00 $155.04–$323.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Aq> Pt Eval, Low Complexity $164.73 $323.00 $155.04–$323.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Op> Pt Eval, Low Complexity $164.73 $323.00 $155.04–$323.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Pr Physical Therapy Evaluation Low Complex 20 Mins|Therapy $164.73 $323.00 $164.73–$274.55 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Tech> Pt Eval, Low Complexity $164.73 $323.00 $155.04–$323.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Tp> Pt Eval, Low Complexity $164.73 $323.00 $155.04–$323.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Pt Eval Low Complex $164.73 $323.00 $155.04–$323.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Eq> Pt Eval, Low Complexity $164.73 $323.00 $155.04–$323.00 49% —
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Inpatient: lowest $141.60, median $141.60, highest $164.73 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 12 facilities here, median $143.40 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.