PT evaluation, mod. complexity cost in Boston, MA
In Boston-Cambridge-Newton, MA-NH, 23 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $142.00 to $798.50, with a median of $365.00. The lowest listed price is at Southcoast Hospitals Group - Tobey Hospital Campus — $223.00 less than the median here. Across Massachusetts, the median is $354.50 at 32 hospitals.
- The median here, $365.00, is 61% above the US median of $226.32.
- That is 3.7× Medicare's 2026 national rate for the same service ($97.86).
- 14 of 23 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 23 facilities across 17 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 23, 2026; the hospital files themselves were last updated between Dec 15, 2025 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Boston-Cambridge-Newton, MA-NH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Southcoast Hospitals Group - Tobey Hospital Campus lowest Wareham, MA · (508) 679-3131 HC Lymphedema Eval Mod Complex+1 more line at this price File of Dec 15, 2025 · source file | $142.00 | $284.00 | $60.72–$411.86 | 50% |
| Boston Medical Center Brighton Boston, MA · (617) 789-3000 HC Physical Therapy Evaluation Mod Complex 30 Mins File of Mar 13, 2026 · source file | $142.73 | $317.17 | $108.88–$475.07 | 55% |
| Boston Medical Center South Brockton, MA · (508) 427-3000 HC Physical Therapy Evaluation Mod Complex 30 Mins File of Mar 13, 2026 · source file | $163.21 | $362.69 | $108.88–$394.86 | 55% |
| Melrosewakefield Healthcare Melrose, MA · (781) 979-3000 Hosp Physical Therapy Evaluation Mod Complex+1 more line at this price File of Apr 1, 2026 · source file | $192.50 | $275.00 | $96.25–$530.75 | 30% |
| Cambridge Health Alliance Cambridge, MA · (617) 665-1000 Physical Therapy Evaluation Mod Complex 30 Mins File of Mar 20, 2026 · source file | $195.00 | $195.00 | $107.25–$294.35 | — |
| Winchester Hospital Winchester, MA · (781) 729-9000 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $197.00 | $197.00 | — | — |
| Boston Medical Center Boston, MA · (617) 638-8000 HC Physical Therapy Evaluation Mod Complex 30 Mins File of Mar 13, 2026 · source file | $246.60 | $548.00 | $108.88–$512.54 | 55% |
| Signature Healthcare Brockton Hospital Brockton, MA · (508) 941-7000 PT EVAL - MEDIUM COMPLEXITY File of Jan 28, 2026 · source file | $259.70 | $371.00 | $77.71–$276.00 | 30% |
| Emerson Hospital Concord, MA · (978) 369-1400 PT EVAL MOD COMPLEX 30 MIN File of May 18, 2026 · source file | $300.75 | $401.00 | $107.09–$401.00 | 25% |
| Anna Jaques Hospital Newburyport, MA · (978) 463-1000 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $328.00 | $328.00 | — | — |
| New England Baptist Hospital Boston, MA · (617) 754-5800 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $344.00 | $344.00 | — | — |
| Mount Auburn Hospital Cambridge, MA · (617) 492-3500 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $365.00 | $365.00 | — | — |
| Whittier Rehabilitation Hospital Bradford Haverhill, MA PT Pt eval mod complex 30 min File of May 21, 2026 · source file | $365.32 | $365.32 | $60.95–$365.32 | — |
| Tufts Medical Center Boston, MA · (617) 636-5000 Hosp Physical Therapy Evaluation Mod Complex File of Apr 1, 2026 · source file | $378.70 | $541.00 | $142.07–$541.00 | 30% |
| Cambridge Health Alliance Cambridge, MA · (617) 665-1000 HC Ot Eval, Mod Complexity+1 more line at this price File of Mar 20, 2026 · source file | $385.00 | $385.00 | $182.73–$385.00 | — |
| Lowell General Hospital Lowell, MA · (978) 937-6000 Hosp Physical Therapy Evaluation Mod Complex File of Apr 1, 2026 · source file | $400.40 | $572.00 | $133.78–$572.00 | 30% |
| Beth Israel Deaconess Hospital - Needham Needham, MA · (781) 453-3002 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $413.00 | $413.00 | — | — |
| Beth Israel Deaconess Hospital-Milton Milton, MA · (617) 696-4600 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $426.00 | $426.00 | — | — |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · (781) 744-5100 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $453.00 | $453.00 | — | — |
| Exeter Hospital Exeter, NH · (603) 778-7311 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $462.00 | $462.00 | — | — |
| Beth Israel Deaconess Hospital - Plymouth Plymouth, MA · (508) 746-2000 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $482.00 | $482.00 | — | — |
| Beth Israel Deaconess Medical Center Boston, MA · (617) 667-7000 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Apr 1, 2026 · source file | $598.00 | $598.00 | — | — |
| Parkland Medical Center Derry, NH · (603) 421-2100 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o File of Sep 1, 2026 · source file | $798.50 | $798.50 | $79.77–$177.76 | — |
| Plaistow Fser Plaistow, NH · (603) 421-2100 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o File of Sep 1, 2026 · source file | $798.50 | $798.50 | $79.77–$177.76 | — |
Outpatient: lowest $142.00, median $365.00, highest $798.50 — a 5.6× difference within the same market.
As an inpatient, the same code is billed by 21 facilities here, median $344.00. 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 10 of 13 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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 PT evaluation, mod. complexity is, what the price covers and why prices differ: PT evaluation, mod. complexity explained.