Doctor visits and therapy CPT 97161 Inpatient — admitted to hospital

PT evaluation, low complexity cost in Mayville, ND — inpatient

In Mayville, ND, 1 hospital lists a cash price for physical therapy evaluation, low complexity (typically about 20 minutes) as an inpatient: from $262.40 to $262.40, with a median of $262.40. Across North Dakota, the median is $252.80 at 9 hospitals.

Cash prices at 1 facility for code 97161, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 4, 2026 and Mar 4, 2026.

Lowest$262.40Sanford Mayville Medical Center
Median$262.40half pay less
Highest$262.40in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Sanford Mayville Medical Center Mayville, ND · (701) 788-3800 PT EVAL LOW COMPLEXITY 97161 $262.40 $328.00 $180.40–$304.61 20% Mar 4, 2026
source file

Inpatient: lowest $262.40, median $262.40, highest $262.40.

As an outpatient, the same code is billed by 1 facility here, median $262.40 — 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.