Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

PT evaluation, mod. complexity cost in Hagerstown, MD — inpatient

In Hagerstown-Martinsburg, MD-WV, 1 hospital lists a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $105.35 to $105.35, with a median of $105.35. Across Maryland, the median is $187.38 at 6 hospitals.

Cash prices at 1 facility for code 97162, as an inpatient (admitted to hospital) . Collected Sep 22, 2026; the hospital files themselves were last updated between — and —.

Lowest$105.35Western Maryland Hospital Center
Median$105.35half pay less
Highest$105.35in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Western Maryland Hospital Center Hagerstown, MD EVALUATION- MODERATE COMPLEXITY $105.35 $105.35 $105.35 — —
source file

Inpatient: lowest $105.35, median $105.35, highest $105.35.

As an outpatient, the same code is billed by 1 facility here, median $216.50 — 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 not 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.