Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Sioux City, IA

In Sioux City, IA-NE-SD, 1 hospital lists a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $187.20 to $187.20, with a median of $187.20. Across Iowa, the median is $187.20 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 Jan 28, 2026 and Jan 28, 2026.

Lowest$187.20St Lukes Regional Medical Center
Median$187.20half pay less
Highest$187.20in this market
Difference1.0×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 Sioux City, IA-NE-SD.

median
Lowest $187.20Highest $199.46

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St Lukes Regional Medical Center lowest Sioux City, IA · (712) 279-3500 PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $187.20 $234.00 $60.84–$154.74 20% Jan 28, 2026
source file
St Lukes Regional Medical Center Sioux City, IA · (712) 279-3500 HC PT EVAL LOW COMPLEX $199.46 $249.32 $64.82–$162.06 20% Jan 28, 2026
source file

Outpatient: lowest $187.20, median $187.20, highest $187.20.

As an inpatient, the same code is billed by 1 facility here, median $187.20. 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 not 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.