Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in Janesville, WI — inpatient

In Janesville-Beloit, WI, 1 hospital lists a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $61.69 to $61.69, with a median of $61.69. Across Wisconsin, the median is $177.50 at 60 hospitals.

Cash prices at 1 facility for code 97161, as an inpatient (admitted to hospital) . Collected Sep 29, 2026; the hospital files themselves were last updated between Mar 1, 2026 and Mar 1, 2026.

Lowest$61.69Mercyhealth Hospital & Trauma Center
Median$61.69half of hospitals charge less
Highest$61.69in this market
Difference1.0×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 Janesville-Beloit, WI.

median
Lowest $61.69Highest $324.14

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Mercyhealth Hospital & Trauma Center lowest Janesville, WI · (608) 756-6161 HC PBB PT EVAL LOW COMPLEX 20 MIN File of Mar 1, 2026 · source file $61.69 $82.25 — 25%
Mercyhealth Hospital & Trauma Center Janesville, WI · (608) 756-6161 HC PT EVAL LOW COMPLEX File of Mar 1, 2026 · source file $324.14 $432.19 — 25%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Inpatient: lowest $61.69, median $61.69, highest $61.69.

As an outpatient, the same code is billed by 1 facility here, median $61.69 — that is the price to compare if you are not being admitted.

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.