Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

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

In Pittsburgh, PA, 2 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $345.00 to $429.60, with a median of $387.30. The lowest listed price is at UPMC Passavant - McCandless — $42.30 less than the median here. Across Pennsylvania, the median is $301.60 at 32 hospitals.

Cash prices at 2 facilities for code 97162, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$345.00UPMC Passavant - McCandless
Median$387.30half pay less
Highest$429.60in this market
Difference1.2×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 Pittsburgh, PA.

median
Lowest $345.00Highest $429.60

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UPMC Passavant - McCandless lowest Pittsburgh, PA · (412) 367-6700 HC CQ PT EVAL MOD COMPLEX $345.00 $575.00 $207.00–$534.75 40% —
source file
UPMC Magee-Womens Hospital Pittsburgh, PA · (412) 641-4010 HC CQ PT EVAL MOD COMPLEX $429.60 $716.00 $257.76–$658.72 40% —
source file

Inpatient: lowest $345.00, median $387.30, highest $429.60 — a 1.2× difference within the same market.

As an outpatient, the same code is billed by 3 facilities here, median $345.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 2 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.