Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Richmond, KY

In Richmond-Berea, KY, 2 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $195.60 to $458.90, with a median of $327.25. The lowest listed price is at Marcum and Wallace Memorial Hospital — $131.65 less than the median here. Across Kentucky, the median is $349.40 at 15 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 Sep 18, 2026 and Sep 18, 2026.

Lowest$195.60Marcum and Wallace Memorial Hospital
Median$327.25half pay less
Highest$458.90in this market
Difference2.3×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 Richmond-Berea, KY.

median
Lowest $195.60Highest $458.90

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Marcum and Wallace Memorial Hospital lowest Irvine, KY · (606) 723-2115 HC Pt Eval Low Complex $195.60 $326.00 — 40% —
source file
Baptist Health Richmond Richmond, KY · (859) 625-3114 Evaluation for physical therapy, typically 20 minutes $458.90 $611.86 $55.07–$1,178.44 25% Sep 18, 2026
source file

Outpatient: lowest $195.60, median $327.25, highest $458.90 — a 2.3× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $205.20. 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 the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.