Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

PT evaluation, mod. complexity cost in St. Louis, MO — inpatient

In St. Louis, MO-IL, 7 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $209.49 to $526.32, with a median of $286.56. The lowest listed price is at Mercy Rehabilitation Hospital St. Louis — $77.07 less than the median here. Across Missouri, the median is $137.26 at 22 hospitals.

Cash prices at 7 facilities across 7 cities for code 97162, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 16, 2026 and Apr 24, 2026.

Lowest$209.49Mercy Rehabilitation Hospital St. Louis
Median$286.56half pay less
Highest$526.32in this market
Difference2.5×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 St. Louis, MO-IL.

median
Lowest $209.49Highest $526.32

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Rehabilitation Hospital St. Louis lowest Chesterfield, MO PT EVALUATION MOD COMPLEXITY $209.49 $209.49 $209.49 — Mar 16, 2026
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Mercy Rehabilitation Hospital South Louis, MO PT EVALUATION MOD COMPLEXITY $213.56 $213.56 $213.56 — Mar 16, 2026
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Ranken Jordan Home for Convalescent Crippled Children Hospital Maryland Heights, MO · (314) 872-6400 PT Mod Eval Units $286.40 $358.00 — 20% Apr 24, 2026
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St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 PT EVAL MOD COMPLEX 30 MIN $286.56 $398.00 $94.52–$398.00 28% —
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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 $303.84 $422.00 $84.40–$422.00 28% —
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St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL PT EVAL MOD COMPLEX 30 MIN $366.48 $509.00 $94.52–$509.00 28% —
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Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 PT EVAL MOD COMPLEX 30 MIN $526.32 $731.00 $94.52–$731.00 28% —
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Inpatient: lowest $209.49, median $286.56, highest $526.32 — a 2.5× difference within the same market.

As an outpatient, the same code is billed by 11 facilities here, median $285.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 4 of 6 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.