Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Pensacola, FL

In Pensacola-Ferry Pass-Brent, FL, 2 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $80.80 to $264.06, with a median of $172.43. The lowest listed price is at Sacred Heart Hospital — $91.63 less than the median here. Across Florida, the median is $261.30 at 77 hospitals.

Cash prices at 2 facilities across 2 cities 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 Apr 1, 2026.

Lowest$80.80Sacred Heart Hospital
Median$172.43half pay less
Highest$264.06in this market
Difference3.3×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 Pensacola-Ferry Pass-Brent, FL.

median
Lowest $80.80Highest $10,045.53

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sacred Heart Hospital lowest Pensacola, FL · (850) 416-7000 PHYSICAL THERAPY EVAL LOW COMP $80.80 $202.00 $171.70 60% —
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Sacred Heart Hospital lowest Pensacola, FL · (850) 416-7000 PHYSICAL THERAPY EVAL LOW COMPLEX $80.80 $202.00 $171.70 60% —
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Sacred Heart Hospital Pensacola, FL · (850) 416-7000 PT-PHYSICAL THERAPY EVAL LOW COMP $83.60 $209.00 $177.65 60% —
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HMA Santa Rosa Medical Center Milton, FL · (850) 626-7762 PT EVAL LOW Unit - Yes $264.06 $1,760.40 $90.04–$1,760.40 85% Apr 1, 2026
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HMA Santa Rosa Medical Center Milton, FL · (850) 626-7762 PT EVAL- LOW COMP - REDOC 181 $264.06 $1,760.40 $90.04–$1,760.40 85% Apr 1, 2026
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HMA Santa Rosa Medical Center Milton, FL · (850) 626-7762 IRF PT EVAL LOW $264.06 $1,760.40 $90.04–$1,760.40 85% Apr 1, 2026
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HMA Santa Rosa Medical Center Milton, FL · (850) 626-7762 PT EVAL LOW COMPLEX 20 MIN $10,045.53 $66,970.21 $90.04–$53,576.17 85% Apr 1, 2026
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Outpatient: lowest $80.80, median $172.43, highest $264.06 — a 3.3× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $616.14. 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 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 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 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.