Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 17 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $49.50 to $880.00, with a median of $215.15. The lowest listed price is at Virtua Memorial Hospital and 3 other hospitals — $165.65 less than the median here. Across Pennsylvania, the median is $259.20 at 33 hospitals.

Cash prices at 17 facilities across 13 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 Mar 24, 2026 and Sep 1, 2026.

Lowest$49.50Virtua Memorial Hospital + 3 more
Median$215.15half pay less
Highest$880.00in this market
Difference17.8×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $49.50Highest $1,335.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Virtua Memorial Hospital lowest Mount Holly, NJ · (609) 267-0700 HC Pt Evaluation Low Complexity $49.50 $495.00 $60.00–$176.00 90% —
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West Jersey Hospital lowest Voorhees, NJ · (856) 247-3000 HC Pt Evaluation Low Complexity $49.50 $495.00 $60.00–$176.00 90% —
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West Jersey Hospital lowest Voorhees, NJ · (856) 247-3000 HC Pt Evaluation Low Complexity $49.50 $495.00 $60.00–$176.00 90% —
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Virtua Willingboro Hospital lowest Willinboro, NJ · (609) 835-2900 HC Pt Evaluation Low Complexity $49.50 $495.00 $60.00–$176.00 90% —
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Virtua Our Lady of Lourdes lowest Camden, NJ · (856) 886-5373 HC Pt Evaluation Low Complexity $49.50 $495.00 $60.00–$176.00 90% —
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Lower Bucks Hospital Bristol, PA · (215) 785-9200 Hc Phys Thrp Eval, Low Complexity, 20 Min $100.00 $427.14 $63.61–$341.71 77% Sep 1, 2026
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Roxborough Memorial Hospital Philadelphia, PA · (215) 483-9900 Hc Phys Thrp Eval, Low Complexity, 20 Min $100.00 $574.75 $63.61–$557.51 83% Sep 1, 2026
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Roxborough Memorial Hospital Philadelphia, PA · (215) 483-9900 Hc Phys Thrp Eval, Low Complexity, 20 Min $100.00 $574.75 $63.61–$557.51 83% Sep 1, 2026
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St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Pt Evaluation Low Complexity Patient/Family $140.40 $216.00 $75.60–$657.46 35% Mar 31, 2026
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Shriners Childrens - Philadelphia Philadelphia, PA · (215) 430-4000 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $212.30 $212.30 $49.04–$163.00 — —
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Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Pt Evaluation Low Complexity Patient/Family $215.15 $331.00 $80.59–$324.38 35% Mar 31, 2026
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Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Pt Evaluation Low Complexity Patient/Family $215.15 $331.00 $80.59–$493.47 35% Mar 31, 2026
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Inspira Medical Center Mannington Salem, NJ PT EVAL LOW COMPLEX 20 MIN $342.22 $342.22 $31.11–$563.00 — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ PT EVAL LOW COMPLEX 20 MIN $342.22 $342.22 $46.88–$563.00 — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 PT EVAL LOW COMPLEX 20 MIN $342.22 $342.22 $38.88–$563.00 — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ PT EVAL LOW COMPLEX 20 MIN $342.22 $342.22 $60.00–$563.00 — Mar 24, 2026
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St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Pt Evaluation Low Complexity Patient/Family $375.70 $578.00 $75.14–$549.10 35% Mar 31, 2026
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The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Pt Evaluation, Low Complexity (Th) $568.37 $568.37 $70.00–$511.53 — —
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The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Pt Evaluation, Low Complexity $568.37 $568.37 $70.00–$511.53 — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Low Complexity OP $880.00 $880.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Low Complexity OP $880.00 $880.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Low Complexity Gl $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Low Complexity IP $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Low Complexity IP $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Low Complexity Rhb $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Low Complexity Gl $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Low Complexity Rhb $1,335.00 $1,335.00 — — —
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Outpatient: lowest $49.50, median $215.15, highest $880.00 — a 17.8× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $342.22. 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 14 of 16 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 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.