Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in Mount Pleasant, TX — inpatient

In Mount Pleasant, TX, 1 hospital lists a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $28.44 to $28.44, with a median of $28.44. Across Texas, the median is $200.38 at 209 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 — and —.

Lowest$28.44UT Health East Texas Pittsburg Hospital
Median$28.44half of hospitals charge less
Highest$28.44in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
UT Health East Texas Pittsburg Hospital Pittsburg, TX · (903) 946-5000 Evaluation for physical therapy, typically 20 minutes source file $28.44 $284.38 $34.81–$455.80 90%
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 $28.44, median $28.44, highest $28.44.

As an outpatient, the same code is billed by 1 facility here, median $28.44 — 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.