Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

PT evaluation, mod. complexity cost in Philadelphia, PA — inpatient

In Philadelphia-Camden-Wilmington, PA-NJ-DE-MD, 9 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $209.95 to $1,015.00, with a median of $427.77. The lowest listed price is at St. Francis Hospital — $217.82 less than the median here. Across Pennsylvania, the median is $301.60 at 32 hospitals.

Cash prices at 9 facilities across 8 cities for code 97162, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 24, 2026 and Mar 31, 2026.

Lowest$209.95St. Francis Hospital
Median$427.77half pay less
Highest$1,015.00in this market
Difference4.8×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 Philadelphia-Camden-Wilmington, PA-NJ-DE-MD.

median
Lowest $209.95Highest $1,335.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
St. Francis Hospital lowest 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 Health Center Woodbury Woodbury, NJ PT EVAL MOD COMPLEX 30 MIN $427.77 $427.77 — — 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 — — Mar 24, 2026
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Inspira Medical Center Mannington Salem, NJ PT EVAL MOD COMPLEX 30 MIN $427.77 $427.77 — — 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 — — Mar 24, 2026
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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 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 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 IP $1,335.00 $1,335.00 — — —
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Inpatient: lowest $209.95, median $427.77, highest $1,015.00 — a 4.8× difference within the same market.

As an outpatient, the same code is billed by 16 facilities here, median $275.60 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 4 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.