Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Louisville, KY

In Louisville/Jefferson County, KY-IN, 12 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $25.76 to $458.90, with a median of $143.70. The lowest listed price is at Norton Clark Hospital — $117.94 less than the median here. Across Kentucky, the median is $183.27 at 52 hospitals.

  • The median here, $143.70, is 37% below the US median of $226.32.
  • That is 1.5× Medicare's 2026 national rate for the same service ($97.86).
  • 1 of 12 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 12 facilities across 7 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 9, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Sep 30, 2026.

Lowest$25.76Norton Clark Hospital
Median$143.70half of hospitals charge less
Highest$458.90in this market
Difference17.8×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 Louisville/Jefferson County, KY-IN.

median
Lowest $25.76Highest $458.90

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Norton Clark Hospital lowest Jeffersonville, IN · (812) 283-2147 HB PT EVAL MOD File of Jun 3, 2026 · source file $25.76 $184.00 $74.98–$161.00 86%
Norton Children's Hospital Louisville, KY HB PEDS PT EVAL MOD+7 more lines at this price File of Feb 11, 2026 · source file $115.80 $579.00 $92.13–$492.15 80%
Norton West Louisville Hospital Louisville, KY HB PEDS PT EVAL MOD+7 more lines at this price File of Feb 11, 2026 · source file $115.80 $579.00 $92.13–$533.84 80%
Norton Brownsboro Hospital Louisville, KY HB NEURO PT EVAL MOD+7 more lines at this price File of Feb 11, 2026 · source file $115.80 $579.00 $92.13–$533.84 80%
Norton Hospital Louisville, KY · (502) 629-8000 HB NEURO WHEELCHAIR/SEAT EVAL MOD PT+7 more lines at this price File of Feb 11, 2026 · source file $115.80 $579.00 $92.13–$533.84 80%
Norton Women's and Kosair Children's Hospital Louisville, KY HB NEURO WHEELCHAIR/SEAT EVAL MOD PT+7 more lines at this price File of Feb 13, 2026 · source file $115.80 $579.00 $92.13–$533.84 80%
St. Vincent Salem Hospital Salem, IN · (812) 883-5881 PT MOD COMPLEX EVAL+1 more line at this price File of Jan 1, 2026 · source file $171.60 $286.00 $18.05–$128.90 40%
CHI Saint Joseph Flaget Memorial Hospital Bardstown, KY · (502) 350-5000 HC Pt Eval Moderate Complexity File of Sep 30, 2026 · source file $240.96 $571.00 $91.41–$455.09 58%
Cobalt Rehabilitation Hospital Louisville Clarksville, IN PT Eval -Moderate Complexity File of Aug 6, 2026 · source file $404.10 $404.10 $51.40–$343.49 —
Baptist Health LaGrange La Grange, KY · (502) 222-5388 Evaluation for physical therapy, typically 30 minutes File of Sep 25, 2026 · source file $458.90 $611.86 $55.07–$1,223.72 25%
Baptist Health Floyd New Albany, IN · (812) 944-7701 Evaluation for physical therapy, typically 30 minutes File of Sep 25, 2026 · source file $458.90 $611.86 $81.47–$917.79 25%
Baptist Health Louisville Louisville, KY · (502) 897-8100 Evaluation for physical therapy, typically 30 minutes File of Sep 25, 2026 · source file $458.90 $611.86 $66.76–$1,223.72 25%
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 $25.76, median $143.70, highest $458.90 — a 17.8× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $115.80. 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 10 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 1 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.