Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Houston, TX

In Houston-Pasadena-The Woodlands, TX, 21 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $99.38 to $813.68, with a median of $378.00. The lowest listed price is at Harris Health and 1 other hospital — $278.62 less than the median here. Across Texas, the median is $237.60 at 211 hospitals.

  • The median here, $378.00, is 67% above the US median of $226.20.
  • That is 3.9× Medicare's 2026 national rate for the same service ($97.86).
  • Houston, TX ranks 3rd of 3 metro areas in Texas by median, cheapest first.
  • 6 of 21 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 21 facilities across 14 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 3, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Sep 8, 2026.

Lowest$99.38Harris Health + 1 more
Median$378.00half of hospitals charge less
Highest$813.68in this market
Difference8.2×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 Houston-Pasadena-The Woodlands, TX.

median
Lowest $99.38Highest $813.68

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Harris Health lowest Houston, TX · (713) 873-2000 ECHG PT PROC PT EVALUATION MODERATE COMPLEX 30 MIN File of Mar 24, 2026 · source file $99.38 $269.00 $67.79–$215.20 63%
Harris Health lowest Taub Loop Houston, TX · (713) 873-2000 ECHG PT PROC PT EVALUATION MODERATE COMPLEX 30 MIN File of Mar 24, 2026 · source file $99.38 $269.00 $67.79–$215.20 63%
The Community Hospital of Brazosport Lake Jackson, TX · (979) 297-4411 PT EVAL: MODERATE COMPLEXITY File of Feb 28, 2026 · source file $150.31 $429.45 $64.42–$273.31 65%
Sweeny Community Hospital Sweeny, TX · (979) 548-3311 Evaluation for physical therapy, typically 30 minutes File of Sep 8, 2026 · source file $153.24 $255.40 $76.62–$247.74 40%
Liberty Dayton Regional Medical Center Liberty, TX · (936) 336-7316 Pt Moderate Complex Units+1 more line at this price source file $209.00 $298.00 $179.00–$283.00 30%
The Methodist Hospital Houston, TX · (713) 790-2221 HC PT EVALUATION-MOD 30 MINS File of Apr 1, 2026 · source file $256.50 $513.00 — 50%
Shriners Childrens Texas Galveston, TX · (409) 770-6600 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES File of Mar 18, 2026 · source file $258.60 $258.60 $71.82–$185.95 —
St Luke's Patients Medical Center Pasadena, TX · (281) 487-0700 PHYSICAL THERAPY EVAL KX MOD+1 more line at this price File of Feb 28, 2026 · source file $271.60 $776.00 $100.00–$582.00 65%
Pam Rehabilitation Hospital of Clear Lake Webster, TX PT Eval -Moderate Complexity File of Aug 6, 2026 · source file $291.65 $291.65 $29.17–$262.49 —
The Womans Hospital of Texas Houston, TX · (713) 790-1234 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 $303.47 $303.47 $96.12–$668.13 —
Methodist West Houston Hospital Houston, TX · (832) 522-1000 HC PT EVALUATION-MOD 30 MINS File of Apr 1, 2026 · source file $378.00 $756.00 — 50%
Houston Methodist Cypress Hospital Cypress, TX · (346) 618-1506 HC PT EVALUATION-MOD 30 MINS File of Apr 1, 2026 · source file $378.00 $756.00 — 50%
Houston Methodist Continuing Care Hospital Katy, TX HC PT EVALUATION-MOD 30 MINS File of Apr 1, 2026 · source file $378.00 $756.00 — 50%
Houston Methodist Baytown Hospital Baytown, TX · (281) 420-8600 HC PT EVALUATION-MOD 30 MINS File of Apr 1, 2026 · source file $378.00 $756.00 — 50%
Methodist Willowbrook Hospital Houston, TX · (281) 477-1000 HC PT EVALUATION-MOD 30 MINS File of Apr 1, 2026 · source file $378.00 $756.00 — 50%
Methodist Sugar Land Hospital Sugar Land, TX · (281) 274-8000 HC PT EVALUATION-MOD 30 MINS File of Apr 1, 2026 · source file $378.00 $756.00 — 50%
Houston Methodist The Woodlands Hospital The Woodlands, TX · (936) 270-2000 HC PT EVALUATION-MOD 30 MINS File of Apr 1, 2026 · source file $378.00 $756.00 — 50%
Houston Methodist Clear Lake Hospital Nassau Bay, TX · (281) 333-5503 HC PT EVALUATION-MOD 30 MINS File of Apr 1, 2026 · source file $378.00 $756.00 — 50%
PAM Health Rehabilitation Hospital of Katy Houston, TX PT Eval -Moderate Complexity File of Aug 6, 2026 · source file $404.10 $404.10 — —
PAM Health Rehabilitation Hospital of Sugar Land Sugar Land, TX PT Evaluation Moderate Complex File of Aug 6, 2026 · source file $444.00 $444.00 $63.15–$377.40 —
Texas Orthopedic Hospital Houston, TX · (713) 799-8600 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 $813.68 $813.68 $96.12–$502.67 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $99.38, median $378.00, highest $813.68 — a 8.2× difference within the same market.

As an inpatient, the same code is billed by 16 facilities here, median $378.00. 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 7 of 11 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.