PT evaluation, mod. complexity cost in San Jose, CA
In San Jose-Sunnyvale-Santa Clara, CA, 5 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes): from $163.75 to $603.20, with a median of $380.80. The lowest listed price is at El Camino Hospital — $217.05 less than the median here. Across California, the median is $356.72 at 90 hospitals.
Cash prices at 5 facilities across 5 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 Mar 31, 2026 and Apr 1, 2026.
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 Jose-Sunnyvale-Santa Clara, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| El Camino Hospital lowest Mountain View, CA · (650) 940-7000 HC PT EVAL MODERATE COMPLEXITY 30 MINS | $163.75 | $655.00 | — | 75% | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $380.80 | $680.00 | — | 44% | — source file |
| Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $380.80 | $680.00 | — | 44% | — source file |
| Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA · (650) 497-8000 HC Pt Eval Mod Complexity | $514.50 | $1,029.00 | $434.24–$535.08 | 50% | Mar 31, 2026 source file |
| Stanford Health Care Stanford, CA · (650) 723-4000 Pt Eval Mod Complex 30 Min | $603.20 | $1,508.00 | — | 60% | Apr 1, 2026 source file |
Outpatient: lowest $163.75, median $380.80, highest $603.20 — a 3.7× difference within the same market.
As an inpatient, the same code is billed by 4 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.