PT evaluation, mod. complexity cost in St. Louis, MO
In St. Louis, MO-IL, 14 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $98.80 to $526.32, with a median of $285.70. The lowest listed price is at Mercy Hospital Jefferson and 1 other hospital — $186.90 less than the median here. Across Missouri, the median is $156.00 at 45 hospitals.
- The median here, $285.70, is 26% above the US median of $226.32.
- That is 2.9× Medicare's 2026 national rate for the same service ($97.86).
- St. Louis, MO ranks 2nd of 2 metro areas in Missouri by median, cheapest first.
- 1 of 14 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 14 facilities across 12 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 Feb 6, 2026 and Jun 10, 2026.
Lowest$98.80Mercy Hospital Jefferson + 1 more
Median$285.70half of hospitals charge less
Highest$526.32in this market
Difference5.3×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 St. Louis, MO-IL.
median
Lowest $98.80Highest $564.85
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Mercy Hospital Jefferson lowest Festus, MO · (636) 933-1000 Pt Eval Level II 15 Min File of Jun 10, 2026 · source file | $98.80 | $152.00 | $86.18–$216.29 | 35% |
| Mercy Hospital South lowest Saint Louis, MO · (314) 525-1000 Pt Eval Level II 15 Min File of Jun 10, 2026 · source file | $98.80 | $152.00 | $137.00–$233.00 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 15 Min File of Jun 10, 2026 · source file | $118.30 | $182.00 | $133.00–$274.00 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level II 30 Min File of Jun 10, 2026 · source file | $130.00 | $200.00 | $86.18–$216.29 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 15 Min File of Jun 10, 2026 · source file | $131.30 | $202.00 | $170.00–$202.00 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 15 Min File of Jun 4, 2026 · source file | $146.90 | $226.00 | $86.18–$216.29 | 35% |
| Touchette Regional Hospital Cahokia Heights, IL · (618) 332-3060 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements fro File of Apr 13, 2026 · source file | $151.90 | $245.00 | $95.18–$233.00 | 38% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 30 Min File of Jun 10, 2026 · source file | $172.90 | $266.00 | $170.00–$202.00 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level II 45 Min File of Jun 10, 2026 · source file | $181.35 | $279.00 | $86.18–$216.29 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 30 Min File of Jun 10, 2026 · source file | $190.45 | $293.00 | $133.00–$274.00 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level II 60 Min File of Jun 10, 2026 · source file | $191.75 | $295.00 | $86.18–$216.29 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 30 Min File of Jun 4, 2026 · source file | $193.05 | $297.00 | $137.00–$274.00 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 45 Min File of Jun 10, 2026 · source file | $193.70 | $298.00 | $86.18–$142.20 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 60 Min File of Jun 10, 2026 · source file | $203.45 | $313.00 | $20.35–$281.70 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Pt Eval Level II 30 Min File of Jun 10, 2026 · source file | $206.05 | $317.00 | $137.00–$312.00 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Pt Eval Level II 45 Min File of Jun 10, 2026 · source file | $206.70 | $318.00 | $20.67–$318.00 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Pt Eval Level II 60 Min File of Jun 10, 2026 · source file | $211.90 | $326.00 | $86.18–$216.29 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 45 Min File of Jun 10, 2026 · source file | $213.85 | $329.00 | $120.65–$132.72 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 75 Min File of Jun 10, 2026 · source file | $214.50 | $330.00 | $133.00–$274.00 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Pt Eval Level II 75 Min File of Jun 10, 2026 · source file | $223.60 | $344.00 | $86.18–$216.29 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level II 75 Min File of Jun 10, 2026 · source file | $223.60 | $344.00 | $137.00–$233.00 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 45 Min File of Jun 4, 2026 · source file | $239.20 | $368.00 | $23.92–$368.00 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 60 Min File of Jun 10, 2026 · source file | $254.80 | $392.00 | $25.48–$392.00 | 35% |
| Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES File of Mar 18, 2026 · source file | $285.00 | $285.00 | $71.82–$163.00 | — |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 60 Min File of Jun 4, 2026 · source file | $286.00 | $440.00 | $28.60–$440.00 | 35% |
| Ranken Jordan Pediatric Bridge Hospital Maryland Heights, MO · (314) 872-6400 PT Mod Eval Units File of Apr 24, 2026 · source file | $286.40 | $358.00 | $32.60–$274.07 | 20% |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 PT EVAL MOD COMPLEX 30 MIN File of Mar 24, 2026 · source file | $286.56 | $398.00 | $94.52–$398.00 | 28% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 75 Min File of Jun 10, 2026 · source file | $296.40 | $456.00 | $170.00–$202.00 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Pt Eval Level II 90 Min File of Jun 10, 2026 · source file | $302.90 | $466.00 | $137.00–$312.00 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 90 Min File of Jun 10, 2026 · source file | $302.90 | $466.00 | $30.29–$419.40 | 35% |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 PT EVAL MOD COMPLEX 30 MIN File of Mar 24, 2026 · source file | $303.84 | $422.00 | $84.40–$422.00 | 28% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level II 90 Min File of Jun 10, 2026 · source file | $312.00 | $480.00 | $31.20–$480.00 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 75 Min File of Jun 4, 2026 · source file | $332.15 | $511.00 | $86.18–$216.29 | 35% |
| Anderson Hospital Maryville, IL · (618) 288-5711 PT OP EVL MOD CMPLX 30 MIN+4 more lines at this price File of Feb 6, 2026 · source file | $334.35 | $668.70 | $92.32–$601.83 | 50% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 90 Min File of Jun 10, 2026 · source file | $338.00 | $520.00 | $120.65–$132.72 | 35% |
| Community Hospital of Staunton Staunton, IL · (618) 635-2200 PT CHS EVL MOD CMPLX 30 MIN File of Feb 9, 2026 · source file | $342.50 | $685.00 | $198.05–$623.35 | 50% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level II 105 Min File of Jun 10, 2026 · source file | $350.35 | $539.00 | $137.00–$233.00 | 35% |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL · (618) 234-2120 PT EVAL MOD COMPLEX 30 MIN File of Mar 24, 2026 · source file | $366.48 | $509.00 | $94.52–$509.00 | 28% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 90 Min File of Jun 4, 2026 · source file | $378.30 | $582.00 | $137.00–$274.00 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 105 Min File of Jun 10, 2026 · source file | $379.60 | $584.00 | $37.96–$584.00 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level II 120 Min File of Jun 10, 2026 · source file | $388.70 | $598.00 | $38.87–$598.00 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 120 Min File of Jun 10, 2026 · source file | $420.55 | $647.00 | $120.65–$132.72 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 105 Min File of Jun 10, 2026 · source file | $425.75 | $655.00 | $86.18–$142.20 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 105 Min File of Jun 4, 2026 · source file | $425.75 | $655.00 | $86.18–$216.29 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Pt Eval Level II 105 Min File of Jun 10, 2026 · source file | $425.75 | $655.00 | $137.00–$312.00 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level II 135 Min File of Jun 10, 2026 · source file | $427.05 | $657.00 | $42.71–$657.00 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 135 Min File of Jun 10, 2026 · source file | $462.15 | $711.00 | $170.00–$202.00 | 35% |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Pt Eval Level II 150 Min File of Jun 10, 2026 · source file | $464.75 | $715.00 | $137.00–$233.00 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 120 Min File of Jun 10, 2026 · source file | $471.90 | $726.00 | $133.00–$274.00 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 120 Min File of Jun 4, 2026 · source file | $471.90 | $726.00 | $86.18–$216.29 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Pt Eval Level II 120 Min File of Jun 10, 2026 · source file | $471.90 | $726.00 | $47.19–$726.00 | 35% |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Pt Eval Level II 150 Min File of Jun 10, 2026 · source file | $503.75 | $775.00 | $50.38–$775.00 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 135 Min File of Jun 10, 2026 · source file | $518.05 | $797.00 | $86.18–$142.20 | 35% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Pt Eval Level II 135 Min File of Jun 10, 2026 · source file | $518.05 | $797.00 | $86.18–$216.29 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 135 Min File of Jun 4, 2026 · source file | $518.05 | $797.00 | $51.81–$797.00 | 35% |
| Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 PT EVAL MOD COMPLEX 30 MIN File of Mar 24, 2026 · source file | $526.32 | $731.00 | $94.52–$731.00 | 28% |
| Mercy Hospital Jefferson Festus, MO · (636) 933-1000 Pt Eval Level II 150 Min File of Jun 10, 2026 · source file | $564.85 | $869.00 | $86.18–$216.29 | 35% |
| Mercy Hospital St Louis Saint Louis, MO · (314) 251-6000 Pt Eval Level II 150 Min File of Jun 4, 2026 · source file | $564.85 | $869.00 | $86.18–$216.29 | 35% |
| Mercy Hospital Washington Washington, MO · (636) 239-8000 Pt Eval Level II 150 Min File of Jun 10, 2026 · source file | $564.85 | $869.00 | $56.49–$782.10 | 35% |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $98.80, median $285.70, highest $526.32 — a 5.3× difference within the same market.
As an inpatient, the same code is billed by 10 facilities here, median $319.10. 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 12 of 14 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 3 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 PT evaluation, mod. complexity is, what the price covers and why prices differ: PT evaluation, mod. complexity explained.