Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Cincinnati, OH

In Cincinnati, OH-KY-IN, 12 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $158.40 to $301.16, with a median of $163.20. The lowest listed price is at Mercy Health West Hospital and 5 other hospitals — $4.80 less than the median here. Across Ohio, the median is $279.90 at 83 hospitals.

Cash prices at 12 facilities across 6 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 1, 2026.

Lowest$158.40Mercy Health West Hospital + 5 more
Median$163.20half pay less
Highest$301.16in this market
Difference1.9×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 Cincinnati, OH-KY-IN.

median
Lowest $158.40Highest $301.16

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Health West Hospital lowest Cincinnati, OH · (513) 215-5000 HC Pt Eval Mod Complex $158.40 $264.00 — 40% —
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Mercy Health Kings Mills Hospital lowest Mason, OH · (513) 637-9999 HC Pt Eval Mod Complex $158.40 $264.00 — 40% —
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The Jewish Hospital-Mercy Health lowest Cincinnati, OH · (513) 686-3000 HC Pt Eval Mod Complex $158.40 $264.00 — 40% —
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Mercy Health Fairfield Hospital lowest Fairfield, OH · (513) 870-7000 HC Pt Eval Mod Complex $158.40 $264.00 — 40% —
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Mercy Health Clermont Hospital lowest Batavia, OH · (513) 732-8278 HC Pt Eval Mod Complex $158.40 $264.00 — 40% —
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Mercy Health Anderson Hospital lowest Cincinnati, OH · (513) 624-4500 HC Pt Eval Mod Complex $158.40 $264.00 — 40% —
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West Chester Hospital West Chester, OH · (513) 298-7701 Hc Pt Eval Mod Comp 30Min $168.00 $280.00 — 40% Jul 1, 2026
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University of Cincinnati Medical Center Cincinnati, OH · (513) 584-1000 Hc Pt Eval Mod Comp 30Min $168.00 $280.00 — 40% Jul 1, 2026
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Pt Eval Mod Complex $193.29 $379.00 $62.15–$379.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Aq> Pt Eval, Moderate Complexity $193.29 $379.00 $62.15–$379.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Op> Pt Eval, Moderate Complexity $193.29 $379.00 $62.15–$379.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Pr Physical Therapy Evaluation Mod Complex 30 Mins|Therapy $193.29 $379.00 $193.29–$322.15 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Tp> Pt Eval, Moderate Complexity $193.29 $379.00 $62.15–$379.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Tech> Pt Eval, Moderate Complexity $193.29 $379.00 $62.15–$379.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Eq> Pt Eval, Moderate Complexity $193.29 $379.00 $62.15–$379.00 49% —
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Children's Hospital Medical Center Cincinnati, OH · (513) 636-3333 Hb Aac> Pt Eval, Moderate Complexity $193.29 $379.00 $62.15–$379.00 49% —
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Bethesda North Cincinnati, OH · (513) 865-1111 HC Pt Eval Moderate Complexity $255.42 $340.56 — 25% Apr 1, 2026
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The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH · (513) 862-2601 HC Pt Eval Moderate Complexity $255.42 $340.56 — 25% Apr 1, 2026
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McCullough-Hyde Memorial Hospital Oxford, OH · (513) 523-2111 HC Pt Eval Moderate Complexity $301.16 $401.55 — 25% Apr 1, 2026
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Outpatient: lowest $158.40, median $163.20, highest $301.16 — a 1.9× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $166.20. 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 it is

This is a first physical therapy evaluation of moderate complexity, typically about 30 minutes face to face. It is used when the problem is changing or other health conditions affect the 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.