Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Virginia Beach, VA

In Virginia Beach-Chesapeake-Norfolk, VA-NC, 10 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $216.00 to $320.18, with a median of $216.00. The lowest listed price is at Hospital for Extended Recovery and 5 other hospitals. Across Virginia, the median is $216.00 at 55 hospitals.

  • The median here, $216.00, is 8% above the US median of $199.50.
  • That is 2.2× Medicare's 2026 national rate for the same service ($97.86).
  • Every hospital here lists a cash price below its full list price.

Cash prices at 10 facilities across 6 cities for code 97161, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 16, 2026; the hospital files themselves were last updated between Mar 17, 2026 and Apr 1, 2026.

Lowest$216.00Hospital for Extended Recovery + 5 more
Median$216.00half of hospitals charge less
Highest$320.18in 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 Virginia Beach-Chesapeake-Norfolk, VA-NC.

median
Lowest $216.00Highest $320.18

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Hospital for Extended Recovery lowest Norfolk, VA · (757) 388-3000 Pt Eval Low Complex 20 Mins File of Apr 1, 2026 · source file $216.00 $432.00 — 50%
Sentara Careplex Hospital lowest Hampton, VA · (757) 827-2545 Pt Eval Low Complex 20 Mins File of Apr 1, 2026 · source file $216.00 $432.00 — 50%
Sentara Norfolk General Hospital lowest Norfolk, VA · (757) 388-3000 Pt Eval Low Complex 20 Mins File of Apr 1, 2026 · source file $216.00 $432.00 — 50%
Sentara Princess Anne Hospital lowest Virginia Beach, VA · (757) 507-1520 Pt Eval Low Complex 20 Mins File of Apr 1, 2026 · source file $216.00 $432.00 — 50%
Sentara Virginia Beach General Hospital lowest Virginia Beach, VA · (757) 395-8000 Pt Eval Low Complex 20 Mins File of Apr 1, 2026 · source file $216.00 $432.00 — 50%
Sentara Leigh Hospital lowest Norfolk, VA · (757) 261-6700 Pt Eval Low Complex 20 Mins File of Apr 1, 2026 · source file $216.00 $432.00 — 50%
Bon Secours Maryview Medical Center Portsmouth, VA · (757) 398-2200 HC Pt Eval Low Complex File of Apr 1, 2026 · source file $301.80 $503.00 — 40%
Bon Secours Harbour View Medical Center Suffolk, VA · (757) 673-5917 HC Pt Eval Low Complex File of Apr 1, 2026 · source file $301.80 $503.00 — 40%
Mary Immaculate Hospital Newport News, VA · (757) 886-6000 HC Pt Eval Low Complex File of Apr 1, 2026 · source file $301.80 $503.00 — 40%
Children's Hospital of the King's Daughters Norfolk, VA · (757) 668-9647 PT EVAL LOW COMPLEX File of Mar 17, 2026 · source file $320.18 $355.76 $81.82–$337.97 10%
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.

Outpatient: lowest $216.00, median $216.00, highest $320.18 — a 1.5× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $216.00. 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 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 PT evaluation, low complexity is, what the price covers and why prices differ: PT evaluation, low complexity explained.