Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in Madison, IN — inpatient

In Madison, IN, 1 hospital lists a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $64.90 to $64.90, with a median of $64.90. Across Indiana, the median is $172.20 at 46 hospitals.

Cash prices at 1 facility for code 97161, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between May 5, 2026 and May 5, 2026.

Lowest$64.90Norton Kings Daughters Health
Median$64.90half pay less
Highest$64.90in 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 Madison, IN.

median
Lowest $64.90Highest $116.82

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Norton Kings Daughters Health lowest Madison, IN · (812) 801-0800 HB PT EVAL LOW $64.90 $295.00 $147.50–$280.25 78% May 5, 2026
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Norton Kings Daughters Health Madison, IN · (812) 801-0800 HB NEURO PT EVAL LOW $68.86 $313.00 $156.50–$297.35 78% May 5, 2026
source file
Norton Kings Daughters Health Madison, IN · (812) 801-0800 HB NEURO WHEELCHAIR/SEAT EVAL LOW PT $69.08 $314.00 $157.00–$298.30 78% May 5, 2026
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Norton Kings Daughters Health Madison, IN · (812) 801-0800 HB WHEELCHAIR/SEAT EVAL LOW PT $116.82 $531.00 $265.50–$504.45 78% May 5, 2026
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Inpatient: lowest $64.90, median $64.90, highest $64.90.

As an outpatient, the same code is billed by 1 facility here, median $64.90 — 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 and 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.