Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Des Moines, IA

In Des Moines-West Des Moines, IA, 4 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $107.09 to $407.00, with a median of $205.08. The lowest listed price is at MercyOne Des Moines Medical Center — $97.99 less than the median here. Across Iowa, the median is $187.20 at 33 hospitals.

Cash prices at 4 facilities across 3 cities for code 97161, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Mar 31, 2026.

Lowest$107.09MercyOne Des Moines Medical Center
Median$205.08half pay less
Highest$407.00in this market
Difference3.8×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 Des Moines-West Des Moines, IA.

median
Lowest $107.09Highest $46,267.78

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
MercyOne Des Moines Medical Center lowest Des Moines, IA · (515) 247-4436 PR Physical Therapy Evaluation Low Complex 20 Mins $107.09 — $62.41–$107.09 — Mar 31, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $187.20 $234.00 $82.70–$183.26 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $187.20 $234.00 $82.70–$155.77 20% Jan 28, 2026
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Mercy Medical Center - Newton Newton, IA · (641) 792-1273 HC Pt Evaluation Low Complexity Patient/Family $222.95 $343.00 $74.80–$343.00 35% Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Pt Evaluation Low Complexity Patient/Family $264.55 $407.00 $74.80–$407.00 35% Mar 31, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC PT EVAL LOW COMPLEX $330.28 $412.84 $95.09–$202.29 20% Jan 28, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC PT EVAL LOW COMPLEX $330.28 $412.84 $95.09–$202.29 20% Jan 28, 2026
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Catholic Health Initiatives-Iowa West Des Moines, IA HC Pt Evaluation Low Complexity Patient/Family $407.00 $407.00 $74.80–$407.00 — Mar 31, 2026
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MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Pt Evaluation Low Complexity Patient/Family $46,267.78 — $9.09–$13,116.76 — Mar 31, 2026
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Outpatient: lowest $107.09, median $205.08, highest $407.00 — a 3.8× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $212.48. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 1 of 4 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.