PT evaluation, low complexity cost in Milwaukee, WI
In Milwaukee-Waukesha, WI, 11 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $77.91 to $185.00, with a median of $185.00. The lowest listed price is at Ascension Columbia St. Mary's Hospital - Milwaukee Campus and 1 other hospital — $107.09 less than the median here. Across Wisconsin, the median is $185.00 at 61 hospitals.
- The median here, $185.00, is 7% below the US median of $199.50.
- That is 1.9× Medicare's 2026 national rate for the same service ($97.86).
- Every hospital here lists a cash price below its full list price.
Cash prices at 11 facilities across 8 cities for code 97161, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 7, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Nov 6, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Milwaukee-Waukesha, WI.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus lowest Milwaukee, WI · (414) 585-1374 HC PT EVAL LOW COMPLEX File of Jan 1, 2026 · source file | $77.91 | $147.00 | $104.53 | 47% |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus lowest Mequon, WI HC PT EVAL LOW COMPLEX File of Jan 1, 2026 · source file | $77.91 | $147.00 | $104.53 | 47% |
| Children's Hospital of Wisconsin Milwaukee, WI · (414) 266-3954 HBC PT EVALUATION LOW COMPLEXITY+1 more line at this price File of Mar 23, 2026 · source file | $170.50 | $310.00 | $217.00–$294.50 | 45% |
| Aurora St Lukes Medical Center of Aurora Health Care Metro Milwaukee, WI · (414) 649-6000 PT EVAL LOW COMPLEXITY File of Nov 5, 2026 · source file | $185.00 | $370.00 | $95.70–$397.00 | 50% |
| Aurora Medical Center Grafton Grafton, WI · (262) 329-1000 PT EVAL LOW COMPLEXITY File of Nov 4, 2026 · source file | $185.00 | $370.00 | $95.70–$397.00 | 50% |
| Aurora St. Luke's South Shore of Aurora Health Care Metro Cudahy, WI · (414) 649-6000 PT EVAL LOW COMPLEXITY File of Nov 6, 2026 · source file | $185.00 | $370.00 | $95.70–$397.00 | 50% |
| Aurora Medical Center Kenosha Kenosha, WI · (262) 948-5600 PT EVAL LOW COMPLEXITY File of Nov 6, 2026 · source file | $185.00 | $370.00 | $95.70–$397.00 | 50% |
| Aurora Medical Center Washington County Hartford, WI · (262) 673-2300 PT EVAL LOW COMPLEXITY File of Nov 5, 2026 · source file | $185.00 | $370.00 | $95.70–$397.00 | 50% |
| Aurora St Lukes Medical Center Milwaukee, WI · (414) 649-6000 PT EVAL LOW COMPLEXITY File of Nov 5, 2026 · source file | $185.00 | $370.00 | $95.70–$397.00 | 50% |
| Aurora West Allis Medical Center West Allis, WI · (414) 328-6000 PT EVAL LOW COMPLEXITY File of Nov 6, 2026 · source file | $185.00 | $370.00 | $95.70–$397.00 | 50% |
| Aurora Medical Center Summit Summit, WI · (262) 434-1600 PT EVAL LOW COMPLEXITY File of Nov 5, 2026 · source file | $185.00 | $370.00 | $95.70–$397.00 | 50% |
Outpatient: lowest $77.91, median $185.00, highest $185.00 — a 2.4× difference within the same market.
As an inpatient, the same code is billed by 9 facilities here, median $185.00. 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 11 of 11 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 it is 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.