Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Lexington, KY

In Lexington-Fayette, KY, 2 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $165.33 to $458.90, with a median of $312.12. The lowest listed price is at University of Kentucky Hospital — $146.79 less than the median here. Across Kentucky, the median is $349.40 at 15 hospitals.

Cash prices at 2 facilities 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 Apr 1, 2026 and Sep 17, 2026.

Lowest$165.33University of Kentucky Hospital
Median$312.12half pay less
Highest$458.90in this market
Difference2.8×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 Lexington-Fayette, KY.

median
Lowest $165.33Highest $458.90

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
University of Kentucky Hospital lowest Lexington, KY · (859) 257-2278 Hc Pt Physical Therapy Evaluation Low Complex 20 Minutes $165.33 $413.33 — 60% Apr 1, 2026
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University of Kentucky Hospital lowest Lexington, KY · (859) 257-2278 Hc Slp Speech Therapy Evaluation Low Complex 20 Minutes $165.33 $413.33 — 60% Apr 1, 2026
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Baptist Health Lexington Lexington, KY · (859) 260-6100 Evaluation for physical therapy, typically 20 minutes $458.90 $611.86 $55.07–$1,243.91 25% Sep 17, 2026
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Outpatient: lowest $165.33, median $312.12, highest $458.90 — a 2.8× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $165.33. 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 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.