Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

PT evaluation, mod. complexity cost in La Crosse, WI — inpatient

In La Crosse-Onalaska, WI-MN, 1 hospital lists a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $303.50 to $303.50, with a median of $303.50. Across Wisconsin, the median is $232.45 at 46 hospitals.

Cash prices at 1 facility for code 97162, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Jun 27, 2026 and Jun 27, 2026.

Lowest$303.50Gundersen St Josephs Hospital and Clinics
Median$303.50half pay less
Highest$303.50in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Gundersen St Josephs Hospital and Clinics Hillsboro, WI · (608) 489-8000 HCHG 97162 PT EVALUATION, MODERATE COMPLEXITY $303.50 $577.00 $244.07–$548.15 47% Jun 27, 2026
source file

Inpatient: lowest $303.50, median $303.50, highest $303.50.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is 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.