Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Kansas City, MO

In Kansas City, MO-KS, 11 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $93.00 to $386.91, with a median of $208.32. The lowest listed price is at Saint John Hospital and 1 other hospital — $115.32 less than the median here. Across Missouri, the median is $128.66 at 46 hospitals.

  • The median here, $208.32, is 4% above the US median of $199.50.
  • That is 2.1× Medicare's 2026 national rate for the same service ($97.86).
  • Kansas City, MO ranks 2nd of 2 metro areas in Missouri by median, cheapest first.
  • 4 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 11 facilities across 7 cities for code 97161, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between Mar 17, 2026 and Sep 1, 2026.

Lowest$93.00Saint John Hospital + 1 more
Median$208.32half of hospitals charge less
Highest$386.91in this market
Difference4.2×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 Kansas City, MO-KS.

median
Lowest $93.00Highest $386.91

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Saint John Hospital lowest Leavenworth, KS · (913) 680-6000 Hc Phys Thrp Eval, Low Complexity, 20 Min File of Mar 17, 2026 · source file $93.00 $744.05 $65.88–$595.24 88%
Providence Medical Center lowest Kansas City, KS · (913) 596-4000 Hc Phys Thrp Eval, Low Complexity, 20 Min File of Mar 17, 2026 · source file $93.00 $744.05 $67.02–$687.50 88%
St Joseph Medical Center Kansas City, MO · (816) 942-4400 Hc Phys Thrp Eval, Low Complexity, 20 Min File of Mar 17, 2026 · source file $95.00 $386.66 $52.23–$386.66 75%
Rehabilitation Hospital of Overland Park Overland Park, KS PT Evaluation Low Complexity File of Aug 6, 2026 · source file $120.35 $120.35 $32.49–$184.68 —
Cass Regional Medical Center Harrisonville, MO · (816) 380-5888 PT Eval Low+1 more line at this price File of Apr 7, 2026 · source file $177.10 $253.00 $32.89–$245.16 30%
Children's Mercy Hospital Kansas City, MO · (816) 234-3000 PT EVAL LOW COMPLEX 20 MIN OT TH+1 more line at this price File of Apr 1, 2026 · source file $208.32 $434.00 $75.41–$390.60 52%
Children's Mercy Hospital Kansas Overland Park, KS · (913) 696-8000 PT EVAL LOW COMPLEX 20 MIN OT TH+1 more line at this price File of Apr 1, 2026 · source file $208.32 $434.00 $75.41–$390.60 52%
Children's Mercy Hospital Kansas City, MO · (816) 234-3000 PHYSICAL THERAPY EVAL, LOW COMP File of Apr 1, 2026 · source file $217.92 $454.00 $75.41–$408.60 52%
Children's Mercy Hospital Kansas Overland Park, KS · (913) 696-8000 PHYSICAL THERAPY EVAL, LOW COMP File of Apr 1, 2026 · source file $217.92 $454.00 $75.41–$408.60 52%
Rehabilitation Hospital of Overland Park Overland Park, KS PT Eval - Low Complexity File of Aug 6, 2026 · source file $233.65 $233.65 $63.09–$210.29 —
Bates County Memorial Hospital Butler, MO · (660) 200-7000 PT EVAL - LOW COMPLEXITY File of Apr 20, 2026 · source file $280.14 $400.20 $75.78–$340.17 30%
AdventHealth Shawnee Mission Shawnee Mission, KS · (913) 676-2152 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Apr 1, 2026 · source file $335.29 $335.29 — —
AdventHealth South Overland Park Overland Park, KS · (913) 373-2000 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Apr 1, 2026 · source file $335.29 $335.29 — —
Bates County Memorial Hospital Butler, MO · (660) 200-7000 PT EVALUATION LOW COMPLEXITY File of Apr 20, 2026 · source file $355.85 $508.35 $75.78–$432.10 30%
Belton Regional Medical Center Kansas City, MO · (816) 348-1200 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st File of Sep 1, 2026 · source file $386.91 $386.91 $212.25 —
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
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $93.00, median $208.32, highest $386.91 — a 4.2× difference within the same market.

As an inpatient, the same code is billed by 7 facilities here, median $208.32. 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 8 of 9 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 PT evaluation, low complexity is, what the price covers and why prices differ: PT evaluation, low complexity explained.