Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in New York, NY — inpatient

In New York-Newark-Jersey City, NY-NJ, 22 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $112.40 to $531.00, with a median of $159.91. The lowest listed price is at St. Barnabas Hospital — $47.51 less than the median here. Across New York, the median is $181.16 at 56 hospitals.

Cash prices at 22 facilities across 16 cities for code 97161, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Apr 1, 2026.

Lowest$112.40St. Barnabas Hospital
Median$159.91half pay less
Highest$531.00in this market
Difference4.7×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $112.40Highest $531.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Barnabas Hospital lowest Bronx, NY · (212) 960-9000 PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $112.40 $407.96 $78.27–$251.57 72% Feb 27, 2026
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Phys Therapy Low Complx $120.93 $410.00 — 71% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Phys Therapy Low Complx $120.93 $466.00 — 74% —
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Eval Phys Therapy Low Complx $120.93 $854.00 — 86% —
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Newton Medical Center Newton, NJ · (973) 383-2121 Eval Phys Therapy Low Complx $120.93 $1,254.00 — 90% —
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Overlook Medical Center Summit, NJ · (908) 522-2000 Eval Phys Therapy Low Complx $120.93 $748.00 — 84% —
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Hmh Hospitals Neptune City, NJ PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $126.19 $435.00 $72.21–$435.00 71% Dec 31, 2025
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HMH Carrier Behavioral Health Belle Mead, NJ PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $158.40 $396.00 — 60% —
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HMH Carrier Behavioral Health Belle Mead, NJ PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $158.40 $396.00 — 60% —
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NYU Langone Mineola, NY HC PT EVAL LOW COMPLEX GP $159.91 $841.63 $93.00–$841.63 81% Jan 1, 2026
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NYU Langone Brooklyn, NY HC PT EVAL LOW COMPLEX GP $159.91 $841.63 $93.00–$841.63 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 HC PT EVAL LOW COMPLEX GP $159.91 $841.63 $93.00–$841.63 81% Jan 1, 2026
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NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC PT EVAL LOW COMPLEX GP $159.91 $841.63 $93.00–$841.63 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 HC PT EVAL LOW COMPLEX GP $159.91 $841.63 $93.00–$841.63 81% Jan 1, 2026
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Englewood Health Englewood, NJ · (201) 894-3000 Physical Therapy Evaluation Low Complex 20 Mins $166.50 $1,665.00 $121.71–$1,332.00 90% Feb 2, 2026
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 PT EVAL LOW COMPLEX 20 MIN $261.80 $374.00 $54.02–$122.99 30% Oct 28, 2025
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 PHYS THERAPY EVAL LOW COMPLEXITY 20 MIN $280.00 $280.00 — — Apr 1, 2026
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Pt Eval Low Complex 20 Min $320.58 $457.96 $1,672.00–$2,102.00 30% Oct 28, 2025
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The Valley Hospital Paramus, NJ · (201) 447-8000 PT - PT EVAL LOW COMPLEX $325.80 $543.00 $60.00–$461.55 40% —
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New York Eye and Ear Infirmary of Mount Sinai New York, NY · (212) 979-4000 VEST.REHAB-PHYS THERAPY EVAL, $396.22 $440.25 — 10% Apr 1, 2026
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The Valley Hospital Paramus, NJ · (201) 447-8000 PT EVAL LOW COMPLEX $412.20 $687.00 $60.00–$583.95 40% —
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 PT EVAL; LOW COMPLEXITY $494.00 $494.00 — — Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Pt Eval Low Complex 20 Min $531.00 $590.00 — 10% Apr 1, 2026
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Mount Sinai Behavioral Health Center New York, NY HC Pt Eval Low Complex 20 Min $531.00 $590.00 — 10% Apr 1, 2026
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Mount Sinai Queens Long Island, NY HC Pt Eval Low Complex 20 Min $531.00 $590.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Pt Eval Low Complex 20 Min $531.00 $590.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY HC Pt Eval Low Complex 20 Min $531.00 $590.00 — 10% Apr 1, 2026
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Inpatient: lowest $112.40, median $159.91, highest $531.00 — a 4.7× difference within the same market.

As an outpatient, the same code is billed by 47 facilities here, median $158.40 — that is the price to compare if you are not being admitted.

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 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.