Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Holland, MI

In Holland, MI, 2 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $158.42 to $175.80, with a median of $167.11. The lowest listed price is at Beacon Allegan — $8.69 less than the median here. Across Michigan, the median is $224.91 at 57 hospitals.

Cash prices at 2 facilities across 2 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 Sep 21, 2026 and Sep 21, 2026.

Lowest$158.42Beacon Allegan
Median$167.11half pay less
Highest$175.80in this market
Difference1.1×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 Holland, MI.

median
Lowest $158.42Highest $175.80

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Beacon Allegan lowest Allegan, MI · (269) 686-4101 PT EVAL MEDIUM COMPLEXITY; 30 MINUTES $158.42 $323.30 $40.82–$93.49 51% —
source file
Beacon Allegan lowest Allegan, MI · (269) 686-4101 PT EVAL MEDIUM COMPLEXITY; 30 MINUTES $158.42 $323.30 $40.82–$93.49 51% —
source file
Holland Community Hospital Holland, MI · (616) 392-5141 Evaluation for physical therapy, typically 30 minutes $175.80 $293.00 $89.21–$293.00 40% Sep 21, 2026
source file

Outpatient: lowest $158.42, median $167.11, highest $175.80 — a 1.1× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $158.42. 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 1 of 2 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.