PT evaluation, mod. complexity cost in Jacksonville, FL
In Jacksonville, FL, 13 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $100.92 to $900.00, with a median of $350.92. The lowest listed price is at Ascension St Vincent's Southside and 3 other hospitals — $250.00 less than the median here. Across Florida, the median is $448.92 at 129 hospitals.
- The median here, $350.92, is 55% above the US median of $226.32.
- That is 3.6× Medicare's 2026 national rate for the same service ($97.86).
- Jacksonville, FL has the lowest median of 4 metro areas in Florida with at least 10 hospitals pricing this code.
- 3 of 13 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 13 facilities across 7 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Nov 12, 2025 and Sep 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Jacksonville, FL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Ascension St Vincent's Southside lowest Jacksonville, FL · (904) 296-3700 PT PELVIC FLR EVAL MOD 3 ELMNTS+7 more lines at this price File of Jan 1, 2026 · source file | $100.92 | $272.75 | $239.50–$266.00 | 63% |
| St. Vincent's Medical Center-Clay County lowest Middleburg, FL · (904) 602-1000 PT EVAL MOD CMPLX 3 ELEMENTS+5 more lines at this price File of Jan 1, 2026 · source file | $100.92 | $272.75 | $239.50–$266.00 | 63% |
| Ascension St Vincent's St Johns County lowest Saint Johns, FL · (904) 450-6020 PT EVAL MOD CMPLX 3 ELEMENTS+5 more lines at this price File of Jan 1, 2026 · source file | $100.92 | $272.75 | $239.50–$266.00 | 63% |
| Ascension St Vincent's Riverside lowest Jacksonville, FL · (904) 308-7300 PT EVAL MOD CMPLX 3 ELEMENTS+5 more lines at this price File of Jan 1, 2026 · source file | $100.92 | $272.75 | $239.50–$266.00 | 63% |
| ED Fraser Memorial Hospital Macclenny, FL · (904) 259-3151 PT - EVAL HIGH COMPLEX 45 MIN File of Nov 12, 2025 · source file | $200.00 | $200.00 | $74.08–$172.44 | — |
| University of Florida Health in Jacksonville Jacksonville, FL · (904) 244-4000 HB PT EVAL MOD COMPLX File of Mar 31, 2026 · source file | $307.65 | $559.36 | $120.11–$227.14 | 45% |
| Baptist Medical Center of Nassau Fernandina Beach, FL · (904) 321-3500 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Feb 6, 2026 · source file | $350.92 | $566.00 | $164.14–$509.40 | 38% |
| Baptist Medical Center of the Beaches Jacksonville Beach, FL · (904) 247-2900 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Feb 6, 2026 · source file | $350.92 | $566.00 | $126.19–$9,462.00 | 38% |
| Baptist Health Medical Center - Jacksonville Jacksonville, FL · (904) 202-2000 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS+1 more line at this price File of Feb 6, 2026 · source file | $350.92 | $566.00 | $130.18–$509.40 | 38% |
| Baptist Medical Center South Jacksonville, FL · (904) 202-2000 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Feb 6, 2026 · source file | $350.92 | $566.00 | $130.18–$509.40 | 38% |
| Baptist Health Medical Center - Jacksonville Fleming Island, FL · (904) 202-2000 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS File of Feb 6, 2026 · source file | $350.92 | $566.00 | $130.18–$509.40 | 38% |
| Reunion Rehabilitation Hospital Jacksonville Jacksonville, FL PT Eval, Mod Typically 30 min File of Apr 1, 2026 · source file | $650.00 | $650.00 | — | — |
| HCA Florida Memorial Hospital Jacksonville, FL · (904) 702-6111 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 +1 more line at this price File of Sep 1, 2026 · source file | $900.00 | $900.00 | $76.80–$115.20 | — |
Outpatient: lowest $100.92, median $350.92, highest $900.00 — a 8.9× difference within the same market.
As an inpatient, the same code is billed by 8 facilities here, median $150.46. 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 9 of 12 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 it is 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.