PT evaluation, low complexity cost in Portland, ME
In Portland-South Portland, ME, 6 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $116.74 to $675.65, with a median of $285.00. The lowest listed price is at Mercy Hospital — $168.26 less than the median here. Across Maine, the median is $221.35 at 19 hospitals.
Cash prices at 6 facilities across 5 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 Aug 12, 2025 and Apr 29, 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 Portland-South Portland, ME.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital lowest Portland, ME PT EVALUATION LOW COMPLEXITY | $116.74 | $449.00 | $239.77–$342.14 | 74% | — source file |
| Bridgton Hospital Bridgton, ME · (207) 647-6000 HC PHYS THRP EVAL, LOW COMPLEXITY, 20 MIN | $163.00 | $525.94 | $95.00–$477.03 | 69% | Apr 29, 2026 source file |
| MaineHealth Brunswick, ME · (207) 729-0181 HC PT EVAL LOW COMPLEX | $262.15 | $262.15 | $98.13–$247.47 | — | Sep 9, 2025 source file |
| MaineHealth Westbrook, ME HC PT EVAL LOW COMPLEX | $307.85 | $307.85 | $98.13–$289.38 | — | Aug 12, 2025 source file |
| MaineHealth Westbrook, ME HC PT EVAL LOW COMPLEX - ACADEMY | $307.85 | $307.85 | $98.13–$289.38 | — | Aug 12, 2025 source file |
| MaineHealth Portland, ME · (207) 662-0111 HC PT EVAL LOW COMPLEX | $342.70 | $342.70 | $98.13–$322.14 | — | Sep 9, 2025 source file |
| MaineHealth Biddeford, ME HC PT EVAL LOW COMPLEX | $675.65 | $675.65 | $98.13–$635.11 | — | Sep 9, 2025 source file |
Outpatient: lowest $116.74, median $285.00, highest $675.65 — a 5.8× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $307.85. 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 6 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.