Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

PT evaluation, mod. complexity cost in Indianapolis, IN — inpatient

In Indianapolis-Carmel-Greenwood, IN, 10 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $159.00 to $282.73, with a median of $159.00. The lowest listed price is at Carmel AmbSurg and 6 other hospitals. Across Indiana, the median is $191.40 at 46 hospitals.

Cash prices at 10 facilities across 5 cities for code 97162, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$159.00Carmel AmbSurg + 6 more
Median$159.00half pay less
Highest$282.73in this market
Difference1.8×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 Indianapolis-Carmel-Greenwood, IN.

median
Lowest $159.00Highest $282.73

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Carmel AmbSurg lowest Carmel, IN PT MOD COMPLEX EVAL $159.00 $265.00 $10.90–$128.90 40% —
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Carmel AmbSurg lowest Carmel, IN PT BALANCE EVALUATION MOD $159.00 $265.00 $10.90–$128.90 40% —
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Carmel AmbSurg lowest Carmel, IN PT PELVIC FLOOR MOD COMP EVAL $159.00 $265.00 $10.90–$128.90 40% —
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Endo Surgery Center lowest Carmel, IN PT MOD COMPLEX EVAL $159.00 $265.00 $10.90–$128.90 40% —
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Endo Surgery Center lowest Carmel, IN PT BALANCE EVALUATION MOD $159.00 $265.00 $10.90–$128.90 40% —
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Endo Surgery Center lowest Carmel, IN PT PELVIC FLOOR MOD COMP EVAL $159.00 $265.00 $10.90–$128.90 40% —
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St. Vincent Heart Center of Indiana lowest Carmel, IN · (317) 583-5000 PT MOD COMPLEX EVAL $159.00 $265.00 $18.05–$128.90 40% —
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St. Vincent Carmel Hospital lowest Carmel, IN · (317) 582-7000 PT MOD COMPLEX EVAL $159.00 $265.00 $18.05–$128.90 40% —
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St. Vincent Carmel Hospital lowest Carmel, IN · (317) 582-7000 PT BALANCE EVALUATION MOD $159.00 $265.00 $18.05–$128.90 40% —
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St. Vincent Carmel Hospital lowest Carmel, IN · (317) 582-7000 PT PELVIC FLOOR MOD COMP EVAL $159.00 $265.00 $18.05–$128.90 40% —
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St. Vincent Seton Specialty Hospital lowest Indianapolis, IN PT MOD COMPLEX EVAL $159.00 $265.00 $18.05–$128.90 40% —
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Naab Road Surgery Center lowest Indianapolis, IN PT MOD COMPLEX EVAL $159.00 $265.00 $10.90–$128.90 40% —
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Naab Road Surgery Center lowest Indianapolis, IN PT BALANCE EVALUATION MOD $159.00 $265.00 $10.90–$128.90 40% —
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Naab Road Surgery Center lowest Indianapolis, IN PT PELVIC FLOOR MOD COMP EVAL $159.00 $265.00 $10.90–$128.90 40% —
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St. Vincent Fishers Hospital lowest Fishers, IN · (317) 415-9000 PT MOD COMPLEX EVAL $159.00 $265.00 $18.05–$128.90 40% —
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St. Vincent Fishers Hospital lowest Fishers, IN · (317) 415-9000 PT PELVIC FLOOR MOD COMP EVAL $159.00 $265.00 $18.05–$128.90 40% —
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St. Vincent Anderson Regional Hospital Anderson, IN · (765) 649-2511 PT MOD COMPLEX EVAL $180.00 $300.00 $10.90–$128.90 40% —
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Ascension St Vincent Mercy Elwood, IN · (765) 552-4743 PT MOD COMPLEX EVAL $236.40 $394.00 $18.05–$128.90 40% —
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Eskenazi Health Indianapolis, IN · (317) 880-4818 HC Pt Eval Mod Complexity $282.73 $314.15 $92.00–$314.15 10% —
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Inpatient: lowest $159.00, median $159.00, highest $282.73 — a 1.8× difference within the same market.

As an outpatient, the same code is billed by 13 facilities here, median $159.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 1 of 10 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.