Doctor visits and therapy CPT 97161 Outpatient

PT evaluation, low complexity cost in Charlotte, NC

In Charlotte-Concord-Gastonia, NC-SC, 17 hospitals list a cash price for physical therapy evaluation, low complexity (typically about 20 minutes): from $22.96 to $426.00, with a median of $202.08. The lowest listed price is at Iredell Memorial Hospital — $179.12 less than the median here. Across North Carolina, the median is $202.08 at 58 hospitals.

Cash prices at 17 facilities across 12 cities 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 Dec 1, 2025 and May 11, 2026.

Lowest$22.96Iredell Memorial Hospital
Median$202.08half of hospitals charge less
Highest$426.00in this market
Difference18.6×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 Charlotte-Concord-Gastonia, NC-SC.

median
Lowest $22.96Highest $426.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Iredell Memorial Hospital lowest Statesville, NC · (704) 878-5661 OT Re Evaluation CHARGE File of Dec 31, 2025 · source file $22.96 $85.05 $103.00–$284.00 73%
Iredell Memorial Hospital Statesville, NC · (704) 878-5661 Physical Therapy Evaluation Charge Low Complexity (97161) File of Dec 31, 2025 · source file $45.36 $168.00 $103.00–$284.00 73%
Iredell Memorial Hospital Statesville, NC · (704) 878-5661 PT Evaluation Low Complexity Units+1 more line at this price File of Dec 31, 2025 · source file $59.40 $220.00 $103.00–$284.00 73%
Iredell Memorial Hospital Statesville, NC · (704) 878-5661 OT Reevaluation Charge File of Dec 31, 2025 · source file $65.88 $244.00 $103.00–$284.00 73%
Iredell Memorial Hospital Statesville, NC · (704) 878-5661 OT Re-Evaluation File of Dec 31, 2025 · source file $68.04 $252.00 $103.00–$284.00 73%
Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Pt Eval Low Complex+2 more lines at this price source file $142.83 $529.00 $46.45–$343.85 73%
Carolinas Rehabilitation Belmont, NC HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Dec 5, 2025 · source file $202.08 $404.15 $95.99–$371.82 50%
Atrium Health Lincoln Lincolnton, NC · (980) 212-2000 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Dec 1, 2025 · source file $202.08 $404.15 $45.59–$383.94 50%
Atrium Health Anson Wadesboro, NC · (704) 694-5131 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Dec 1, 2025 · source file $202.08 $404.15 $60.46–$383.94 50%
Atrium Health University City Charlotte, NC · (704) 548-6000 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Dec 5, 2025 · source file $202.08 $404.15 $40.42–$392.03 50%
Atrium Health Pineville Charlotte, NC · (704) 379-5000 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Dec 5, 2025 · source file $202.08 $404.15 $40.42–$371.82 50%
Carolinas Rehabilitation Charlotte, NC HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Dec 5, 2025 · source file $202.08 $404.15 $95.99–$371.82 50%
Carolinas Medical Center-Northeast Concord, NC · (704) 783-3000 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Dec 1, 2025 · source file $202.08 $404.15 $49.59–$383.94 50%
Carolinas Medical Center Charlotte, NC · (704) 355-2000 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS+1 more line at this price File of Dec 4, 2025 · source file $202.08 $404.15 $52.45–$363.74 50%
Atrium Health Union Monroe, NC · (704) 283-3100 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Dec 4, 2025 · source file $202.08 $404.15 $52.54–$383.94 50%
Atrium Health Mercy, a facility of Carolinas Medical Center Charlotte, NC HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS File of Dec 4, 2025 · source file $202.08 $404.15 $52.45–$371.82 50%
MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB PT EVAL LOW COMPLEX 20 MIN File of Apr 1, 2026 · source file $289.00 $578.00 — 50%
MUSC Chester Regional Medical Center Chester, SC · (803) 581-3151 HB PT EVAL LOW COMPLEX 20 MIN File of Apr 1, 2026 · source file $311.50 $623.00 — 50%
Gaston Memorial Hospital Mount Holly, NC · (704) 834-4891 HCHG PT EVAL LOW COMPLEXITY File of May 11, 2026 · source file $426.00 $426.00 $64.11–$404.70 —
CaroMont Regional Medical Center - Gastonia Gastonia, NC · (704) 834-4891 HCHG PT EVAL LOW COMPLEXITY File of May 11, 2026 · source file $426.00 $426.00 $64.11–$404.70 —
Gaston Memorial Hospital Belmont, NC · (704) 834-4891 HCHG PT EVAL LOW COMPLEXITY File of May 11, 2026 · source file $426.00 $426.00 $64.11–$404.70 —
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
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $22.96, median $202.08, highest $426.00 — a 18.6× difference within the same market.

As an inpatient, the same code is billed by 16 facilities here, median $202.08. 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 12 of 15 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 2 it is below every plan's rate. 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.