Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Mayagüez, PR

In Mayagüez, PR, 2 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $43.00 to $150.00, with a median of $96.50. The lowest listed price is at Mayaguez Medical Center — $53.50 less than the median here. Across Puerto Rico, the median is $96.50 at 2 hospitals.

Cash prices at 2 facilities across 2 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Dec 26, 2024 and Mar 31, 2026.

Lowest$43.00Mayaguez Medical Center
Median$96.50half pay less
Highest$150.00in this market
Difference3.5×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 Mayagüez, PR.

median
Lowest $43.00Highest $150.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mayaguez Medical Center lowest Mayaguez, PR Moderate Complexity Evaluation $43.00 $43.00 $21.88–$86.77 — Mar 31, 2026
source file
Hospital de la Concepcion San German, PR · (787) 892-1860 PtModComplexityTypically30 Min $150.00 $150.00 $20.00–$100.20 — Dec 26, 2024
source file

Outpatient: lowest $43.00, median $96.50, highest $150.00 — a 3.5× difference within the same market.

As an inpatient, the same code is billed by 1 facility here, median $150.00. 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 1 of 2 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.