Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in Philadelphia, PA

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 16 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $49.50 to $1,015.00, with a median of $275.60. The lowest listed price is at Virtua Memorial Hospital and 3 other hospitals — $226.10 less than the median here. Across Pennsylvania, the median is $301.60 at 32 hospitals.

Cash prices at 16 facilities across 14 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 24, 2026 and Sep 1, 2026.

Lowest$49.50Virtua Memorial Hospital + 3 more
Median$275.60half pay less
Highest$1,015.00in this market
Difference20.5×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $49.50Highest $1,335.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Virtua Memorial Hospital lowest Mount Holly, NJ · (609) 267-0700 HC Pt Evaluation Moderate Complexity $49.50 $495.00 $60.00–$176.00 90% —
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West Jersey Hospital lowest Voorhees, NJ · (856) 247-3000 HC Pt Evaluation Moderate Complexity $49.50 $495.00 $60.00–$176.00 90% —
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West Jersey Hospital lowest Voorhees, NJ · (856) 247-3000 HC Pt Evaluation Moderate Complexity $49.50 $495.00 $60.00–$176.00 90% —
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Virtua Willingboro Hospital lowest Willinboro, NJ · (609) 835-2900 HC Pt Evaluation Moderate Complexity $49.50 $495.00 $60.00–$176.00 90% —
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Virtua Our Lady of Lourdes lowest Camden, NJ · (856) 886-5373 HC Pt Evaluation Moderate Complexity $49.50 $495.00 $60.00–$176.00 90% —
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Lower Bucks Hospital Bristol, PA · (215) 785-9200 Hc Phys Thrp Eval, Moderate Complexity, 30 Min $100.00 $475.18 $63.61–$380.14 79% Sep 1, 2026
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Roxborough Memorial Hospital East Norriton, PA Hc Phys Thrp Eval, Moderate Complexity, 30 Min $100.00 $574.75 $63.61–$557.51 83% Sep 1, 2026
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Roxborough Memorial Hospital East Norriton, PA Hc Phys Thrp Eval, Moderate Complexity, 30 Min $100.00 $574.75 $63.61–$557.51 83% Sep 1, 2026
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St. Francis Hospital Wilmington, DE · (302) 421-4100 HC Pt Evaluation Moderate Complexity Patient/Family $209.95 $323.00 $98.02–$657.46 35% Mar 31, 2026
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Mercy Fitzgerald Hospital Darby, PA · (215) 237-4000 HC Pt Evaluation Moderate Complexity Patient/Family $275.60 $424.00 $41.60–$616.84 35% Mar 31, 2026
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Nazareth Hospital Philadelphia, PA · (215) 335-6000 HC Pt Evaluation Moderate Complexity Patient/Family $275.60 $424.00 $48.31–$415.52 35% Mar 31, 2026
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St Mary Medical Center Langhorne, PA · (215) 750-2003 HC Pt Evaluation Moderate Complexity Patient/Family $375.70 $578.00 $41.60–$549.10 35% Mar 31, 2026
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Inspira Medical Center Mannington Salem, NJ PT EVAL MOD COMPLEX 30 MIN $427.77 $427.77 $38.88–$563.00 — Mar 24, 2026
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Inspira Health Center Woodbury Woodbury, NJ PT EVAL MOD COMPLEX 30 MIN $427.77 $427.77 $58.60–$563.00 — Mar 24, 2026
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Inspira Medical Center Elmer Elmer, NJ · (856) 363-1000 PT EVAL MOD COMPLEX 30 MIN $427.77 $427.77 $48.59–$563.00 — Mar 24, 2026
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Inspira Medical Center Mullica Hill Mullica Hill, NJ PT EVAL MOD COMPLEX 30 MIN $427.77 $427.77 $60.00–$563.00 — Mar 24, 2026
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The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Pt Evaluation, Moderate Complexity (Th) $844.88 $844.88 $70.00–$760.39 — —
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The Children's Hospital of Philadelphia Philadelphia, PA · (215) 590-1000 Pt Evaluation, Moderate Complexity $844.88 $844.88 $70.00–$760.39 — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Moderate Complexity OP $1,015.00 $1,015.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Moderate Complexity OP $1,015.00 $1,015.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Moderate Complexity Rhb $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Moderate Complexity IP $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Moderate Complexity IP $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Moderate Complexity Gl $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Moderate Complexity Gl $1,335.00 $1,335.00 — — —
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Nemours Children's Hospital Wilmington, DE · (302) 651-4000 Pt Evaluation Moderate Complexity Rhb $1,335.00 $1,335.00 — — —
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Outpatient: lowest $49.50, median $275.60, highest $1,015.00 — a 20.5× difference within the same market.

As an inpatient, the same code is billed by 9 facilities here, median $427.77. 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 14 of 15 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 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.