Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in St. Marys, PA

In St. Marys, PA, 1 hospital lists a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $567.00 to $567.00, with a median of $567.00. Across Pennsylvania, the median is $259.20 at 33 hospitals.

Cash prices at 1 facility 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 Apr 1, 2026.

Lowest$567.00Penn Highlands Elk
Median$567.00half pay less
Highest$567.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Penn Highlands Elk Saint Marys, PA · (814) 788-8000 PT GE EVAL LOW COMPLEX 20 MINS $567.00 $567.00 — — Apr 1, 2026
source file

Outpatient: lowest $567.00, median $567.00, highest $567.00.

As an inpatient, the same code is billed by 1 facility here, median $567.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

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.