Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in Toledo, OH — inpatient

In Toledo, OH, 4 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $244.20 to $367.20, with a median of $263.40. The lowest listed price is at Nationwide Children's Hospital Toledo — $19.20 less than the median here. Across Ohio, the median is $264.00 at 83 hospitals.

Cash prices at 4 facilities across 3 cities for code 97161, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$244.20Nationwide Children's Hospital Toledo
Median$263.40half pay less
Highest$367.20in this market
Difference1.5×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 Toledo, OH.

median
Lowest $244.20Highest $369.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Nationwide Children's Hospital Toledo lowest Toledo, OH · (419) 251-3232 HC PT EVAL LOW COMPLEX $244.20 $407.00 $101.75–$313.39 40% —
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Mercy Health St Vincent Medical Center Perrysburg, OH HC Pt Eval Low Complex $263.40 $439.00 — 40% —
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Mercy Health St Vincent Medical Center Toledo, OH · (419) 251-3232 HC Pt Eval Low Complex $263.40 $439.00 — 40% —
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Mercy Health St Vincent Medical Center Oregon, OH HC Pt Eval Low Complex $367.20 $612.00 — 40% —
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Mercy Health St Vincent Medical Center Toledo, OH · (419) 251-3232 HC Pt Eval Low Complex $369.00 $615.00 — 40% —
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Inpatient: lowest $244.20, median $263.40, highest $367.20 — a 1.5× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $263.40 — that is the price to compare if you are not being admitted.

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.