Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Riverside, CA

In Riverside-San Bernardino-Ontario, CA, 20 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $50.95 to $833.06, with a median of $223.00. The lowest listed price is at Eisenhower Medical Center — $172.05 less than the median here. Across California, the median is $236.12 at 141 hospitals.

  • The median here, $223.00, is 12% above the US median of $199.50.
  • That is 2.3× Medicare's 2026 national rate for the same service ($97.86).
  • Riverside, CA ranks 3rd of 4 metro areas in California by median, cheapest first.
  • 4 of 20 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 20 facilities across 16 cities for code 97161, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Feb 25, 2026 and Sep 2, 2026.

Lowest$50.95Eisenhower Medical Center
Median$223.00half of hospitals charge less
Highest$833.06in this market
Difference16.4×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 $50.95Highest $833.06

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Eisenhower Medical Center lowest Rancho Mirage, CA · (760) 340-3911 HC Pt Eval Low Complexity File of Apr 2, 2026 · source file $50.95 $633.00 $102.93–$534.00 92%
Montclair Hospital Medical Center Montclair, CA · (909) 625-8300 Hc Phys Thrp Eval, Low Complexity, 20 Min File of Sep 1, 2026 · source file $103.00 $624.18 $98.01–$624.18 83%
Desert Valley Hospital Victorville, CA · (760) 241-8000 PT EVAL LOW COMPLEX 20 MIN File of Sep 1, 2026 · source file $103.00 $308.82 $92.65–$308.82 67%
Chino Valley Medical Center Chino, CA · (909) 627-6111 Hc Phys Thrp Eval, Low Complexity, 20 Min File of Sep 1, 2026 · source file $103.00 $624.18 $98.01–$624.18 83%
Bear Valley Community Hospital Big Bear Lake, CA · (909) 866-6501 PT EVAL LOW COMPLEXITY File of Jun 11, 2026 · source file $133.29 $190.41 $74.26–$171.37 30%
Loma Linda University Medical Center - Murrieta Murrieta, CA · (951) 290-4000 HC PT INIT EVAL LOW File of Sep 2, 2026 · source file $163.35 $363.00 $65.70–$354.00 55%
Kaiser Foundation Hospital - Fontana Fontana, CA · (909) 427-5000 PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Apr 1, 2026 · source file $222.56 $428.00 — 48%
Kaiser Ontario Medical Center Campus Ontario, CA · (909) 427-5000 PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Apr 1, 2026 · source file $222.56 $428.00 — 48%
Kaiser Foundation Hospital - Riverside Riverside, CA · (951) 353-2000 PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Apr 1, 2026 · source file $222.56 $428.00 — 48%
Kaiser Foundation Hospital - Moreno Valley Moreno Valley, CA · (951) 251-6530 PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Apr 1, 2026 · source file $222.56 $428.00 — 48%
Redlands Community Hospital Redlands, CA · (909) 335-5500 Evaluation for physical therapy, typically 20 minutes File of Jun 19, 2026 · source file $223.44 $931.00 $87.69–$1,578.98 76%
Victor Valley Global Medical Center Victorville, CA · (760) 245-8691 PT-PHYSICAL THERAPY EVAL 20 MIN File of May 13, 2026 · source file $243.00 $243.00 $51.77–$315.00 —
San Antonio Regional Hospital Upland, CA · (909) 985-2811 Evaluation for physical therapy, typically 20 minutes File of Apr 2, 2026 · source file $249.00 $1,000.00 $101.11–$1,837.50 75%
Palo Verde Hospital Blythe, CA · (760) 922-4115 PT Evaluation Units, Low Complexity File of Jul 1, 2026 · source file $255.00 $340.00 — 25%
Loma Linda University Medical Center Loma Linda, CA · (909) 558-4000 HC PT INIT EVAL LOW File of Sep 2, 2026 · source file $285.30 $634.00 $206.00–$570.60 55%
St Mary Medical Center Apple Valley, CA · (760) 242-2311 HC PT EVALUATION LOW COMPLEX CDM+2 more lines at this price File of Apr 1, 2026 · source file $329.76 $687.00 — 52%
Loma Linda University Childrens Hospital Loma Linda, CA · (909) 558-8000 HC PT INIT EVAL LOW File of Sep 2, 2026 · source file $390.60 $868.00 $206.00–$737.80 55%
San Bernardino County Colton, CA · (909) 580-1000 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Feb 25, 2026 · source file $557.00 $557.00 $103.17–$403.83 —
Riverside Community Hospital Riverside, CA · (951) 788-3000 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st File of Sep 1, 2026 · source file $721.00 $721.00 $103.17 —
Riverside University Medical Center Moreno Valley, CA · (951) 486-4000 HC Pt Init Eval Low+1 more line at this price File of Mar 30, 2026 · source file $833.06 $833.06 $34.84–$833.06 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $50.95, median $223.00, highest $833.06 — a 16.4× difference within the same market.

As an inpatient, the same code is billed by 13 facilities here, median $243.00. 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 11 of 14 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 PT evaluation, low complexity is, what the price covers and why prices differ: PT evaluation, low complexity explained.