Doctor visits and therapy CPT 97162 Outpatient

PT evaluation, mod. complexity cost in San Francisco, CA

In San Francisco-Oakland-Fremont, CA, 11 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $300.00 to $610.00, with a median of $380.80. The lowest listed price is at Stanford Health Care Tri-Valley — $80.80 less than the median here. Across California, the median is $356.72 at 90 hospitals.

Cash prices at 11 facilities across 10 cities for code 97162, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 22, 2026.

Lowest$300.00Stanford Health Care Tri-Valley
Median$380.80half pay less
Highest$610.00in this market
Difference2.0×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 Francisco-Oakland-Fremont, CA.

median
Lowest $300.00Highest $610.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Stanford Health Care Tri-Valley lowest Pleasanton, CA · (925) 847-3000 Pt Eval Mod Complex 30 Min $300.00 $750.00 — 60% Apr 1, 2026
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Kaiser Foundation Hospital - South San Francisco South San Francisco, CA · (650) 742-3200 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Kaiser Foundation Hospital - Antioch Antioch, CA · (925) 813-6500 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Kaiser Foundation Hospital - San Leandro San Leandro, CA · (510) 454-1000 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Kaiser Foundation Hospital - San Francisco San Francisco, CA · (415) 833-2646 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Kaiser Foundation Hospital - Oakland/Richmond Oakland, CA · (510) 752-1000 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Kaiser Foundation Hospital - Walnut Creek Walnut Creek, CA · (925) 295-4000 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Kaiser Foundation Hospital - Fremont Fremont, CA · (510) 784-4000 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Kaiser Foundation Hospital - Redwood City Redwood City, CA · (650) 299-2000 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Kaiser Foundation Hospital - San Rafael San Rafael, CA · (415) 444-2000 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Stanford Health Care Tri-Valley Pleasanton, CA · (925) 847-3000 Pt Ped Eval Mod Complex $387.60 $969.00 — 60% Apr 1, 2026
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Chinese Hospital Association San Francisco, CA · (415) 677-2480 Evaluation for physical therapy, typically 30 minutes $610.00 $610.00 $96.00–$1,098.00 — Jul 22, 2026
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Outpatient: lowest $300.00, median $380.80, highest $610.00 — a 2.0× difference within the same market.

As an inpatient, the same code is billed by 10 facilities here, median $380.80. 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 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.