Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Riverside, CA

In Riverside-San Bernardino-Ontario, CA, 13 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $103.00 to $833.06, with a median of $222.56. The lowest listed price is at Montclair Hospital Medical Center and 2 other hospitals — $119.56 less than the median here. Across California, the median is $222.56 at 89 hospitals.

Cash prices at 13 facilities across 11 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 Sep 2, 2026.

Lowest$103.00Montclair Hospital Medical Center + 2 more
Median$222.56half pay less
Highest$833.06in this market
Difference8.1×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 Riverside-San Bernardino-Ontario, CA.

median
Lowest $103.00Highest $833.06

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Montclair Hospital Medical Center lowest Montclair, CA · (909) 625-8300 Hc Phys Thrp Eval, Low Complexity, 20 Min $103.00 $624.18 $98.01–$624.18 83% Sep 1, 2026
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Desert Valley Hospital lowest Victorville, CA · (760) 241-8000 PT EVAL LOW COMPLEX 20 MIN $103.00 $308.82 $92.65–$308.82 67% Sep 1, 2026
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Chino Valley Medical Center lowest Chino, CA · (909) 627-6111 Hc Phys Thrp Eval, Low Complexity, 20 Min $103.00 $624.18 $98.01–$624.18 83% Sep 1, 2026
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Loma Linda University Medical Center - Murrieta Murrieta, CA · (951) 290-4000 HC PT INIT EVAL LOW $163.35 $363.00 $65.70–$354.00 55% Sep 2, 2026
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Kaiser Foundation Hospital - Moreno Valley Moreno Valley, CA · (951) 251-6530 PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $222.56 $428.00 — 48% —
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Kaiser Foundation Hospital - Riverside Riverside, CA · (951) 353-2000 PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $222.56 $428.00 — 48% —
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Kaiser Foundation Hospital - Fontana Fontana, CA · (909) 427-5000 PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $222.56 $428.00 — 48% —
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San Antonio Regional Hospital Upland, CA · (909) 985-2811 Evaluation for physical therapy, typically 20 minutes $249.00 $1,000.00 $101.11–$1,837.50 75% Apr 2, 2026
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Palo Verde Hospital Blythe, CA · (760) 922-4115 PT Evaluation Units, Low Complexity $255.00 $340.00 — 25% Jul 1, 2026
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Loma Linda University Medical Center Loma Linda, CA · (909) 558-4000 HC PT INIT EVAL LOW $285.30 $634.00 $206.00–$570.60 55% Sep 2, 2026
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St Mary Medical Center Apple Valley, CA · (760) 242-2311 HC CRISIS TELEH 97161 PT EVALUATION LOW COMPLEX CDM $329.76 $687.00 — 52% Apr 1, 2026
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St Mary Medical Center Apple Valley, CA · (760) 242-2311 HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM $329.76 $687.00 — 52% Apr 1, 2026
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St Mary Medical Center Apple Valley, CA · (760) 242-2311 HC PT EVALUATION LOW COMPLEX CDM $329.76 $687.00 — 52% Apr 1, 2026
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Loma Linda University Childrens Hospital Loma Linda, CA · (909) 558-8000 HC PT INIT EVAL LOW $390.60 $868.00 $206.00–$737.80 55% Sep 2, 2026
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Riverside University Medical Center Moreno Valley, CA · (951) 486-4000 HC Pt Init Eval Low $833.06 $833.06 $34.84–$833.06 — —
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Riverside University Medical Center Moreno Valley, CA · (951) 486-4000 HC Pt Init Eval Low $833.06 $833.06 $34.84–$833.06 — —
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Outpatient: lowest $103.00, median $222.56, highest $833.06 — a 8.1× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $255.00. 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 7 of 8 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.