Doctor visits and therapy CPT 97162 Inpatient — admitted to hospital

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

In San Jose-Sunnyvale-Santa Clara, CA, 4 hospitals list a cash price for physical therapy evaluation, moderate complexity (typically about 30 minutes) as an inpatient: 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 4 facilities across 4 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$163.75El Camino Hospital
Median$380.80half pay less
Highest$603.20in this market
Difference3.7×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 Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $163.75Highest $603.20

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile 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
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Kaiser Foundation Hospital - San Jose San Jose, CA · (408) 972-7000 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Kaiser Foundation Hospital - Santa Clara Santa Clara, CA · (408) 236-6400 PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $380.80 $680.00 — 44% —
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Stanford Health Care Stanford, CA · (650) 723-4000 Pt Eval Mod Complex 30 Min $603.20 $1,508.00 — 60% Apr 1, 2026
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Inpatient: lowest $163.75, median $380.80, highest $603.20 — a 3.7× difference within the same market.

As an outpatient, the same code is billed by 5 facilities here, median $380.80 — that is the price to compare if you are not being admitted.

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.