Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

PT evaluation, mod. complexity cost in San Diego, CA — inpatient

In San Diego-Chula Vista-Carlsbad, CA, 5 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: from $250.80 to $356.72, with a median of $356.72. The lowest listed price is at UC San Diego Medical Center — $105.92 less than the median here. Across California, the median is $356.72 at 90 hospitals.

Cash prices at 5 facilities across 2 cities for code 97162, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Apr 1, 2026.

Lowest$250.80UC San Diego Medical Center
Median$356.72half pay less
Highest$356.72in this market
Difference1.4×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 San Diego-Chula Vista-Carlsbad, CA.

median
Lowest $250.80Highest $487.50

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
UC San Diego Medical Center lowest San Diego, CA · (619) 543-6222 Evaluation of physical therapy, typically 30 minutes $250.80 $456.00 $45.60–$296.40 45% Apr 1, 2026
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Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 Rch Smh P/T Eval 30 Min $339.00 $452.00 — 25% Apr 1, 2026
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Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego, CA PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $356.72 $686.00 — 48% —
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Kaiser Foundation Hospital - San Marcos San Marcos, CA · (760) 528-6295 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $356.72 $686.00 — 48% —
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Kaiser Foundation Hospital - San Diego - Zion San Diego, CA · (619) 528-5000 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $356.72 $686.00 — 48% —
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Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 Rch Ip Eval Mod Complexity 4 Rvu $366.00 $488.00 — 25% Apr 1, 2026
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Rady Children's Hospital - San Diego San Diego, CA · (858) 576-1700 Rch Ip Eval Mod Complexity 5 Rvu $487.50 $650.00 — 25% Apr 1, 2026
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Inpatient: lowest $250.80, median $356.72, highest $356.72 — a 1.4× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $347.86 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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.