Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

PT evaluation, mod. complexity cost in New York, NY — inpatient

In New York-Newark-Jersey City, NY-NJ, 22 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $112.40 to $670.50, with a median of $239.87. The lowest listed price is at St. Barnabas Hospital — $127.47 less than the median here. Across New York, the median is $252.20 at 55 hospitals.

Cash prices at 22 facilities across 16 cities for code 97162, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Oct 28, 2025 and Apr 1, 2026.

Lowest$112.40St. Barnabas Hospital
Median$239.87half pay less
Highest$670.50in this market
Difference6.0×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 New York-Newark-Jersey City, NY-NJ.

median
Lowest $112.40Highest $743.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Barnabas Hospital lowest Bronx, NY · (212) 960-9000 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $112.40 $407.96 $78.27–$251.57 72% Feb 27, 2026
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Morristown Medical Center Morristown, NJ · (973) 971-5450 Eval Phys Therapy Mod Complex $120.93 $1,087.00 — 89% —
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CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Eval Phys Therapy Mod Complex $120.93 $512.00 — 76% —
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Newton Medical Center Newton, NJ · (973) 383-2121 Eval Phys Therapy Mod Complex $120.93 $1,254.00 — 90% —
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Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Eval Phys Therapy Mod Complex $120.93 $565.00 — 79% —
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Overlook Medical Center Summit, NJ · (908) 522-2000 Eval Phys Therapy Mod Complex $120.93 $953.00 — 87% —
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Hmh Hospitals Neptune City, NJ PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $126.19 $561.00 $93.13–$561.00 78% Dec 31, 2025
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HMH Carrier Behavioral Health Belle Mead, NJ PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $181.20 $453.00 — 60% —
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HMH Carrier Behavioral Health Belle Mead, NJ PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $181.20 $453.00 — 60% —
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Englewood Health Englewood, NJ · (201) 894-3000 Physical Therapy Evaluation Mod Complex 30 Mins $184.80 $1,848.00 $135.09–$1,478.40 90% Feb 2, 2026
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NYU Langone New York, NY · (212) 263-7300 HC PT EVAL MOD COMPLEX GP $239.87 $1,262.45 $93.00–$1,262.45 81% Jan 1, 2026
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NYU Langone New York, NY · (212) 263-7300 HC PT EVAL MOD COMPLEX GP $239.87 $1,262.45 $93.00–$1,262.45 81% Jan 1, 2026
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NYU Langone Brooklyn, NY HC PT EVAL MOD COMPLEX GP $239.87 $1,262.45 $93.00–$1,262.45 81% Jan 1, 2026
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NYU Langone Mineola, NY HC PT EVAL MOD COMPLEX GP $239.87 $1,262.45 $93.00–$1,262.45 81% Jan 1, 2026
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NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC PT EVAL MOD COMPLEX GP $239.87 $1,262.45 $93.00–$1,262.45 81% Jan 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 PHYS THERAPY EVAL MOD COMPLEXITY 30 MIN $280.00 $280.00 — — Apr 1, 2026
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Nassau University Medical Center East Meadow, NY · (516) 572-0123 Pt Eval Mod Complex 30 Min $320.58 $457.96 $1,672.00–$2,102.00 30% Oct 28, 2025
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The Valley Hospital Paramus, NJ · (201) 447-8000 PT - PT EVAL MOD COMPLEX $385.80 $643.00 $60.00–$546.55 40% —
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New York Eye and Ear Infirmary of Mount Sinai New York, NY · (212) 979-4000 VEST.REHAB-PHYS THERAPY EVAL, $396.22 $440.25 — 10% Apr 1, 2026
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The Valley Hospital Paramus, NJ · (201) 447-8000 PT EVAL MOD COMPLEX $438.60 $731.00 $60.00–$621.35 40% —
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Mount Sinai Queens Long Island, NY HC Pt Eval Mod Complex 30 Min $670.50 $745.00 — 10% Apr 1, 2026
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The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Pt Eval Mod Complex 30 Min $670.50 $745.00 — 10% Apr 1, 2026
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Mount Sinai Morningside New York, NY HC Pt Eval Mod Complex 30 Min $670.50 $745.00 — 10% Apr 1, 2026
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Mount Sinai Brooklyn Brooklyn, NY HC Pt Eval Mod Complex 30 Min $670.50 $745.00 — 10% Apr 1, 2026
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Mount Sinai Behavioral Health Center New York, NY HC Pt Eval Mod Complex 30 Min $670.50 $745.00 — 10% Apr 1, 2026
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Maimonides Medical Center Brooklyn, NY · (718) 283-6000 PT EVAL; MODERATE COMPLEXITY $743.00 $743.00 — — Apr 1, 2026
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Inpatient: lowest $112.40, median $239.87, highest $670.50 — a 6.0× difference within the same market.

As an outpatient, the same code is billed by 47 facilities here, median $181.20 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 9 of 9 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 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.