Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

PT evaluation, mod. complexity cost in Des Moines, IA — inpatient

In Des Moines-West Des Moines, IA, 4 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $187.20 to $407.00, with a median of $229.45. The lowest listed price is at UnityPoint Health - Des Moines Iowa Methodist Medical — $42.25 less than the median here. Across Iowa, the median is $187.20 at 33 hospitals.

Cash prices at 4 facilities across 3 cities for code 97162, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jan 28, 2026 and Mar 31, 2026.

Lowest$187.20UnityPoint Health - Des Moines Iowa Methodist Medical
Median$229.45half pay less
Highest$407.00in this market
Difference2.2×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 Des Moines-West Des Moines, IA.

median
Lowest $187.20Highest $407.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $187.20 $234.00 $82.70–$155.77 20% Jan 28, 2026
source file
UnityPoint Health - Des Moines Iowa Methodist Medical lowest Des Moines, IA · (515) 343-1000 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $187.20 $234.00 $82.70–$183.26 20% Jan 28, 2026
source file
Mercy Medical Center - Newton Newton, IA · (641) 792-1273 HC Pt Evaluation Moderate Complexity Patient/Family $194.35 $299.00 $74.80–$299.00 35% Mar 31, 2026
source file
MercyOne Des Moines Medical Center Des Moines, IA · (515) 247-4436 HC Pt Evaluation Moderate Complexity Patient/Family $264.55 $407.00 $74.80–$407.00 35% Mar 31, 2026
source file
UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC PT EVAL MOD COMPLEX $350.30 $437.87 $189.60 20% Jan 28, 2026
source file
UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines, IA · (515) 343-1000 HC PT EVAL MOD COMPLEX $350.30 $437.87 $189.60 20% Jan 28, 2026
source file
Catholic Health Initiatives-Iowa West Des Moines, IA HC Pt Evaluation Moderate Complexity Patient/Family $407.00 $407.00 $74.80–$407.00 — Mar 31, 2026
source file

Inpatient: lowest $187.20, median $229.45, highest $407.00 — a 2.2× difference within the same market.

As an outpatient, the same code is billed by 4 facilities here, median $229.45 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 of 4 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 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.