Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Lexington, TN

In Lexington, TN, 1 hospital lists a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $93.06 to $93.06, with a median of $93.06. Across Tennessee, the median is $129.60 at 64 hospitals.

Cash prices at 1 facility for code 97161, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between — and —.

Lowest$93.06Houston County Community Hospital

Median$93.06half of hospitals charge less

Highest$93.06in this market

Difference1.0×highest vs lowest

Hospitals, cheapest first

Hospital	Cash price	List price	Insurers pay	Off list
Houston County Community Hospital Lexington, TN · (731) 968-1801 PT EVAL - LOW COMPLEXITY source file	$93.06	$232.65	—	60%

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

Outpatient: lowest $93.06, median $93.06, highest $93.06.

As an inpatient, the same code is billed by 1 facility here, median $93.06. 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.